| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
985 |
962 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
304 |
$21K |
| 99051 |
|
175 |
172 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
73 |
$3K |
| 99174 |
|
394 |
393 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90686 |
|
153 |
125 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
47 |
46 |
$772.65 |
| 92551 |
|
150 |
149 |
$387.65 |
| 99072 |
|
97 |
94 |
$336.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$195.36 |
| 83655 |
|
94 |
94 |
$80.50 |
| 96127 |
|
27 |
27 |
$31.59 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |
| 96160 |
|
33 |
33 |
$0.00 |
| 90656 |
|
28 |
28 |
$0.00 |