| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,302 |
1,628 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,459 |
825 |
$1K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$463.21 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$107.21 |
| 90674 |
|
318 |
317 |
$83.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
336 |
328 |
$40.64 |
| 36415 |
Collection of venous blood by venipuncture |
572 |
531 |
$14.70 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
65 |
56 |
$0.00 |