| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,376 |
$688K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
836 |
673 |
$326K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
169 |
$77K |
| 99441 |
|
99 |
87 |
$45K |
| 99442 |
|
69 |
58 |
$28K |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$7K |
| T1015 |
Clinic visit/encounter, all-inclusive |
389 |
214 |
$251.04 |
| 99072 |
|
111 |
77 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
24 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
221 |
206 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
40 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |
| 90632 |
|
107 |
106 |
$0.00 |
| 0064A |
|
15 |
14 |
$0.00 |
| 99406 |
|
15 |
15 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |