| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,158 |
918 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
676 |
596 |
$29K |
| 99335 |
|
251 |
157 |
$10K |
| 99337 |
|
107 |
91 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
182 |
135 |
$5K |
| 99348 |
|
82 |
49 |
$4K |
| 99000 |
|
147 |
138 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$896.88 |
| 90674 |
|
30 |
30 |
$784.80 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$631.43 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$630.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$393.00 |