| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,924 |
3,622 |
$262K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
256 |
256 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90756 |
|
15 |
15 |
$416.44 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
26 |
25 |
$414.12 |
| 36415 |
Collection of venous blood by venipuncture |
1,229 |
1,206 |
$336.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$248.66 |
| 90688 |
|
14 |
14 |
$190.32 |
| 90658 |
|
13 |
13 |
$136.34 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
16 |
16 |
$84.00 |