| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,074 |
2,516 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
466 |
396 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
751 |
684 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
545 |
495 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
712 |
658 |
$9K |
| 87428 |
|
157 |
139 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
188 |
152 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
298 |
261 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
17 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
26 |
25 |
$331.76 |
| 87420 |
|
18 |
17 |
$184.22 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
80 |
$92.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
203 |
180 |
$75.66 |
| 81002 |
|
33 |
26 |
$68.22 |
| 3078F |
|
335 |
289 |
$0.00 |
| 3074F |
|
358 |
297 |
$0.00 |