| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,666 |
3,013 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,221 |
1,060 |
$68K |
| 36415 |
Collection of venous blood by venipuncture |
2,008 |
1,784 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
662 |
561 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
472 |
396 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
634 |
265 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
53 |
$639.76 |
| 81003 |
|
17 |
14 |
$577.69 |
| 92552 |
|
26 |
17 |
$469.17 |
| 99173 |
|
24 |
15 |
$38.34 |