| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
52,169 |
19,269 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
799 |
710 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,035 |
850 |
$36K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
14 |
$648.21 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
152 |
146 |
$455.54 |
| 36415 |
Collection of venous blood by venipuncture |
427 |
374 |
$383.88 |
| 82947 |
|
17 |
12 |
$0.00 |
| 3078F |
|
56 |
39 |
$0.00 |
| 3008F |
|
155 |
111 |
$0.00 |
| 3074F |
|
78 |
56 |
$0.00 |
| 3044F |
|
220 |
161 |
$0.00 |