| Code | Description | Claims | Beneficiaries | Total Paid |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
321 |
305 |
$12K |
| 99000 |
|
362 |
343 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
63 |
43 |
$867.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
30 |
$643.93 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
12 |
$361.84 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$337.37 |
| 99072 |
|
398 |
337 |
$5.00 |