| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,867 |
3,388 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,979 |
1,468 |
$41K |
| 93000 |
|
216 |
199 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$515.20 |
| 99051 |
|
94 |
83 |
$332.08 |
| 36415 |
Collection of venous blood by venipuncture |
429 |
398 |
$303.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
52 |
38 |
$191.14 |
| 90686 |
|
14 |
13 |
$55.51 |
| 90688 |
|
31 |
31 |
$53.52 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
26 |
24 |
$51.31 |
| 87631 |
|
13 |
12 |
$19.05 |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
13 |
$0.00 |
| 82947 |
|
55 |
42 |
$0.00 |