| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,904 |
3,875 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,713 |
2,440 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
2,593 |
2,317 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
101 |
79 |
$2K |
| 90756 |
|
185 |
182 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
36 |
30 |
$326.93 |
| 93000 |
|
53 |
52 |
$319.28 |
| 69210 |
|
88 |
82 |
$202.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$91.60 |
| 99058 |
|
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
107 |
107 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$0.00 |
| 81002 |
|
64 |
58 |
$0.00 |
| 81003 |
|
30 |
26 |
$0.00 |