| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
894 |
790 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
405 |
346 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
250 |
218 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
125 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
70 |
$2K |
| 82947 |
|
691 |
593 |
$1K |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$1K |
| 81003 |
|
400 |
369 |
$472.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
90 |
88 |
$398.82 |
| 82044 |
|
25 |
24 |
$78.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$62.72 |
| 94760 |
|
20 |
19 |
$12.15 |
| 36415 |
Collection of venous blood by venipuncture |
450 |
420 |
$8.55 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
51 |
50 |
$5.52 |
| 1159F |
|
13 |
13 |
$0.00 |
| 3078F |
|
27 |
25 |
$0.00 |
| 3074F |
|
14 |
14 |
$0.00 |
| 3008F |
|
43 |
38 |
$0.00 |