| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,777 |
2,584 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,208 |
1,190 |
$62K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
657 |
655 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,152 |
1,065 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
48 |
48 |
$1K |
| 99441 |
|
32 |
30 |
$356.95 |
| 94760 |
|
515 |
494 |
$278.85 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
12 |
12 |
$50.00 |
| 99000 |
|
32 |
31 |
$34.12 |
| 81003 |
|
16 |
16 |
$29.10 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$6.24 |
| G9920 |
Screening performed and negative |
57 |
57 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
86 |
85 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
46 |
46 |
$0.00 |