| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,458 |
3,154 |
$301K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,505 |
1,935 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
339 |
311 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
150 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
53 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
47 |
26 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$370.06 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
372 |
357 |
$79.99 |
| 81002 |
|
693 |
667 |
$11.77 |
| 99000 |
|
174 |
169 |
$3.19 |
| 81025 |
|
59 |
57 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
78 |
$0.00 |