| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,408 |
3,729 |
$305K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,104 |
4,214 |
$253K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,467 |
3,493 |
$49K |
| 36415 |
Collection of venous blood by venipuncture |
1,619 |
1,349 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
261 |
205 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
26 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
40 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$993.87 |
| 90686 |
|
75 |
67 |
$503.32 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$409.63 |
| 96127 |
|
48 |
43 |
$210.67 |
| 83037 |
|
15 |
15 |
$93.16 |
| 36416 |
|
34 |
28 |
$73.91 |