| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,514 |
9,472 |
$1.26M |
| 99307 |
|
15,596 |
15,401 |
$848K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,594 |
3,321 |
$465K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,393 |
2,375 |
$135K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
804 |
800 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
149 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$5K |
| 99318 |
|
58 |
58 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
180 |
180 |
$3K |
| 99304 |
|
31 |
31 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 90686 |
|
13 |
13 |
$602.38 |
| 99173 |
|
48 |
48 |
$121.40 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
159 |
$18.14 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
79 |
78 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
115 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
28 |
$0.00 |