The Outfit has reorganized. The low point in Outfit history was probably 2007-2012. Since that time, there has definitely been more activity. While the Outfit has been reduced to minor street crime (loansharking, running book), in New York it is no different. Other than tiny union activity, most everything is sports book or loansharking.
I don't know how much you pay attention to New York but, while bookmaking and loansharking are certainly the mob's bedrock there too, there is still significant labor/business racketeering in several unions and industries. Not "tiny" by any means. NY is considerably different than Chicago and anywhere else there is still a family.
That said, I would say the Outfit remains involved in more than "minor street crime." In addition to its traditional street rackets - bookmaking, video poker machines, stolen goods, etc., it has interests in things like trucking companies, the trade show industry, and some remaining involvement in the Teamsters Union.
