| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,544 |
5,941 |
$365K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,829 |
3,425 |
$306K |
| 99215 |
Prolong outpt/office vis |
413 |
376 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
606 |
568 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
178 |
164 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
69 |
$6K |
| 90686 |
|
365 |
347 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
74 |
$1K |
| 81003 |
|
96 |
86 |
$183.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
12 |
$135.05 |
| 85018 |
|
12 |
12 |
$33.32 |
| 1159F |
|
648 |
593 |
$0.00 |
| 3078F |
|
469 |
426 |
$0.00 |
| 3074F |
|
507 |
465 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |