| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,324 |
3,864 |
$220K |
| 99199 |
Unlisted special service, procedure or report |
10,598 |
5,221 |
$64K |
| 99336 |
|
265 |
201 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
82 |
$8K |
| 99335 |
|
165 |
121 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
52 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
45 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
581 |
422 |
$926.54 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
12 |
$398.82 |
| 81003 |
|
173 |
108 |
$213.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$169.56 |
| 1160F |
|
986 |
847 |
$0.00 |
| 1159F |
|
990 |
848 |
$0.00 |
| 99000 |
|
852 |
564 |
$0.00 |