| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,599 |
1,339 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,130 |
942 |
$86K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
425 |
394 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
83 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
89 |
80 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
195 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
15 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
36 |
$1K |
| 95251 |
|
42 |
40 |
$1K |
| 0012A |
|
14 |
13 |
$590.00 |
| 0011A |
|
17 |
14 |
$421.46 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
24 |
$126.23 |
| 96127 |
|
14 |
13 |
$57.09 |
| 99173 |
|
17 |
16 |
$45.78 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
14 |
$44.66 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
76 |
$0.00 |