| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
840 |
773 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
255 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
50 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$2K |
| 90686 |
|
62 |
46 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
17 |
$541.90 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$417.95 |
| 36415 |
Collection of venous blood by venipuncture |
142 |
138 |
$36.90 |