| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
593 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
968 |
890 |
$35K |
| 99349 |
|
244 |
214 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
186 |
173 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
76 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
95 |
92 |
$5K |
| 99344 |
|
51 |
34 |
$5K |
| 93923 |
|
54 |
14 |
$4K |
| 95924 |
|
27 |
14 |
$2K |
| 95923 |
|
27 |
14 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$646.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
15 |
$258.91 |
| 36416 |
|
70 |
66 |
$190.50 |
| 82962 |
|
26 |
24 |
$63.90 |
| 36415 |
Collection of venous blood by venipuncture |
22 |
20 |
$51.81 |
| 93040 |
|
27 |
14 |
$2.30 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |