| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,505 |
2,895 |
$150K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,538 |
1,303 |
$95K |
| 90686 |
|
136 |
112 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
24 |
$847.92 |
| 36415 |
Collection of venous blood by venipuncture |
550 |
504 |
$84.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |