| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
903 |
541 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
908 |
634 |
$31K |
| T1015 |
Clinic visit/encounter, all-inclusive |
423 |
253 |
$20K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
666 |
521 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
783 |
438 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,139 |
747 |
$12K |
| 87428 |
|
285 |
147 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
81 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
224 |
149 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,897 |
1,043 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$321.72 |
| 81002 |
|
63 |
24 |
$60.00 |
| 3074F |
|
1,917 |
981 |
$0.00 |
| 3079F |
|
525 |
339 |
$0.00 |
| 3080F |
|
73 |
59 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
107 |
43 |
$0.00 |
| 3075F |
|
16 |
14 |
$0.00 |
| 3077F |
|
179 |
122 |
$0.00 |
| 3078F |
|
1,396 |
660 |
$0.00 |
| 1159F |
|
18 |
16 |
$0.00 |
| 1160F |
|
14 |
12 |
$0.00 |