| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,397 |
6,094 |
$269K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,140 |
2,803 |
$162K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
776 |
756 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,786 |
1,558 |
$40K |
| 99215 |
Prolong outpt/office vis |
332 |
279 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,450 |
1,060 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
354 |
330 |
$12K |
| 99205 |
Prolong outpt/office vis |
127 |
122 |
$11K |
| 96127 |
|
2,342 |
1,602 |
$7K |
| 99406 |
|
1,006 |
854 |
$6K |
| 99385 |
|
46 |
43 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
30 |
$2K |
| 99386 |
|
31 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
121 |
$2K |
| 90686 |
|
104 |
82 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
26 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
97 |
80 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
751 |
691 |
$888.64 |
| 90682 |
|
34 |
24 |
$848.96 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$672.65 |
| 90674 |
|
16 |
16 |
$287.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$24.82 |
| 1036F |
|
1,097 |
840 |
$19.77 |
| 1125F |
|
587 |
508 |
$13.96 |
| 3077F |
|
592 |
512 |
$1.11 |
| 3080F |
|
596 |
517 |
$1.05 |
| 3079F |
|
821 |
724 |
$0.56 |
| 3074F |
|
1,816 |
1,537 |
$0.45 |
| 3075F |
|
456 |
413 |
$0.31 |
| 3078F |
|
1,454 |
1,236 |
$0.29 |
| 1126F |
|
1,909 |
1,674 |
$0.00 |
| 1160F |
|
2,270 |
1,802 |
$0.00 |
| 1159F |
|
2,272 |
1,805 |
$0.00 |
| 4004F |
|
107 |
96 |
$0.00 |