| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,918 |
2,569 |
$147K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
194 |
179 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
111 |
$8K |
| 90686 |
|
435 |
429 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
48 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
470 |
448 |
$3K |
| 92551 |
|
108 |
99 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
169 |
148 |
$661.50 |
| 96127 |
|
12 |
12 |
$499.82 |
| 90656 |
|
22 |
21 |
$230.85 |
| 81000 |
|
85 |
69 |
$227.46 |
| 92587 |
|
12 |
12 |
$174.00 |
| 83655 |
|
12 |
12 |
$137.34 |
| 99173 |
|
34 |
27 |
$41.72 |
| 3008F |
|
300 |
292 |
$0.10 |
| 36416 |
|
208 |
199 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |