| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,016 |
3,237 |
$429K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
363 |
304 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
541 |
399 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
101 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
33 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
28 |
$706.77 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
27 |
$38.64 |
| 99000 |
|
261 |
224 |
$0.00 |