| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
228 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
54 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
100 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
43 |
43 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$437.00 |
| 3008F |
|
19 |
19 |
$170.00 |
| 92551 |
|
13 |
13 |
$70.46 |
| 96127 |
|
14 |
14 |
$34.16 |
| 99072 |
|
518 |
504 |
$0.00 |
| 99000 |
|
56 |
56 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
31 |
31 |
$0.00 |
| 94760 |
|
43 |
41 |
$0.00 |