| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,221 |
1,984 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,018 |
958 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
341 |
341 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
210 |
207 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
514 |
490 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
26 |
25 |
$729.82 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
20 |
$698.80 |
| 80053 |
Comprehensive metabolic panel |
45 |
43 |
$369.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
17 |
$338.70 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$276.68 |
| 3078F |
|
468 |
452 |
$210.00 |
| 3077F |
|
186 |
176 |
$200.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
28 |
$150.00 |
| 3074F |
|
524 |
499 |
$150.00 |
| 90734 |
|
23 |
14 |
$140.00 |
| 3079F |
|
263 |
254 |
$120.00 |
| 92552 |
|
26 |
25 |
$119.00 |
| 86580 |
|
14 |
12 |
$77.00 |
| 3080F |
|
91 |
82 |
$60.00 |
| 3075F |
|
86 |
84 |
$40.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$24.00 |