| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,991 |
3,688 |
$275K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,428 |
1,363 |
$149K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
823 |
778 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
186 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
30 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
246 |
119 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
193 |
$2K |
| 81000 |
|
170 |
159 |
$429.86 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
40 |
$414.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
12 |
$197.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
27 |
$175.89 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$63.21 |