| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,738 |
3,946 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,609 |
4,565 |
$253K |
| 99199 |
Unlisted special service, procedure or report |
14,264 |
9,091 |
$85K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
49 |
46 |
$4K |
| 82962 |
|
2,545 |
2,024 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
55 |
24 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
228 |
108 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
30 |
30 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
415 |
378 |
$542.30 |