| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
598 |
557 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
232 |
232 |
$13K |
| T1015 |
Clinic visit/encounter, all-inclusive |
218 |
214 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
182 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$423.96 |
| 3074F |
|
25 |
24 |
$0.00 |
| 3079F |
|
31 |
30 |
$0.00 |
| 99000 |
|
22 |
22 |
$0.00 |
| 3078F |
|
26 |
25 |
$0.00 |
| 99072 |
|
19 |
19 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$0.00 |