| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,230 |
2,737 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,988 |
1,712 |
$104K |
| 99215 |
Prolong outpt/office vis |
33 |
31 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,288 |
1,187 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
51 |
$892.85 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$497.71 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
13 |
$9.38 |