| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,609 |
1,349 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
259 |
247 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
80 |
$5K |
| 92551 |
|
216 |
215 |
$2K |
| 99401 |
|
113 |
113 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
233 |
231 |
$330.54 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
16 |
$325.29 |
| 99173 |
|
127 |
127 |
$233.64 |
| 99072 |
|
282 |
251 |
$0.00 |