| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
367 |
269 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
84 |
$7K |
| 92502 |
|
63 |
63 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
32 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
115 |
110 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
132 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$818.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
16 |
$173.18 |
| G4028 |
Podiatry mips specialty set |
18 |
18 |
$90.00 |
| 85018 |
|
36 |
36 |
$47.04 |
| 94760 |
|
141 |
135 |
$2.10 |
| 99080 |
|
56 |
55 |
$0.00 |
| 99000 |
|
188 |
177 |
$0.00 |
| 2010F |
|
105 |
104 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$0.00 |
| 36416 |
|
15 |
15 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
118 |
112 |
$0.00 |