| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,315 |
1,116 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
539 |
498 |
$34K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
116 |
112 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
376 |
361 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
112 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
89 |
88 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
60 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
122 |
122 |
$1K |
| 90686 |
|
86 |
65 |
$996.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$179.16 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
163 |
$28.45 |
| 1160F |
|
121 |
98 |
$0.00 |
| 3078F |
|
15 |
12 |
$0.00 |
| 1159F |
|
71 |
50 |
$0.00 |
| 1036F |
|
118 |
92 |
$0.00 |
| 3008F |
|
121 |
96 |
$0.00 |
| 3074F |
|
35 |
25 |
$0.00 |