| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,257 |
2,095 |
$139K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,196 |
1,062 |
$96K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
208 |
189 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
305 |
294 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
136 |
131 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
32 |
$3K |
| 99215 |
Prolong outpt/office vis |
16 |
13 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
32 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
35 |
$665.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
49 |
$645.59 |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$0.00 |