| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,094 |
1,336 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
189 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$2K |
| 96127 |
|
81 |
72 |
$647.59 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
12 |
$601.55 |
| 36415 |
Collection of venous blood by venipuncture |
253 |
204 |
$447.69 |
| 93000 |
|
15 |
14 |
$206.98 |
| 81003 |
|
195 |
122 |
$167.97 |