| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,762 |
2,388 |
$135K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,505 |
1,390 |
$116K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,816 |
1,632 |
$74K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,310 |
1,175 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
715 |
664 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
398 |
376 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,053 |
951 |
$16K |
| 81025 |
|
804 |
724 |
$4K |
| 81002 |
|
987 |
885 |
$3K |
| 87808 |
|
158 |
140 |
$2K |
| 87807 |
|
188 |
165 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$996.27 |
| 87905 |
|
93 |
90 |
$967.58 |
| 86318 |
|
15 |
13 |
$253.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
12 |
$206.01 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
31 |
$0.00 |