| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,179 |
1,009 |
$92K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
88 |
88 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
34 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
607 |
594 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
119 |
113 |
$3K |
| 99051 |
|
347 |
330 |
$2K |
| 3008F |
|
224 |
224 |
$1.58 |
| 3074F |
|
159 |
159 |
$1.09 |
| 3078F |
|
39 |
39 |
$0.26 |
| 3079F |
|
26 |
26 |
$0.17 |
| 99000 |
|
26 |
25 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
129 |
129 |
$0.00 |