| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
758 |
545 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
323 |
291 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
190 |
189 |
$9K |
| 99441 |
|
168 |
152 |
$6K |
| 99442 |
|
49 |
46 |
$3K |
| 0001A |
|
88 |
87 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
58 |
$2K |
| 0002A |
|
63 |
63 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
90 |
87 |
$2K |
| 86769 |
|
67 |
34 |
$2K |
| 99401 |
|
91 |
66 |
$1K |
| 69210 |
|
19 |
17 |
$460.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$246.46 |
| 36415 |
Collection of venous blood by venipuncture |
131 |
122 |
$221.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$111.40 |
| 99000 |
|
532 |
492 |
$79.22 |
| 99072 |
|
299 |
254 |
$4.00 |
| 91300 |
|
90 |
70 |
$0.00 |