| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,246 |
3,043 |
$337K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,864 |
2,571 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
482 |
$60K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
409 |
388 |
$44K |
| 87428 |
|
2,056 |
1,400 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
285 |
212 |
$30K |
| 87430 |
|
2,371 |
1,624 |
$22K |
| 87420 |
|
856 |
608 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
60 |
55 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
125 |
122 |
$4K |
| 76140 |
|
54 |
37 |
$190.00 |
| 81003 |
|
98 |
91 |
$134.71 |
| 81001 |
|
45 |
39 |
$115.42 |
| 87400 |
|
95 |
94 |
$78.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$56.50 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
64 |
$9.56 |