| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,582 |
3,722 |
$332K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,822 |
2,971 |
$194K |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,725 |
3,841 |
$21K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
47 |
35 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
263 |
211 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
15 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$957.00 |
| 36415 |
Collection of venous blood by venipuncture |
241 |
207 |
$719.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
17 |
$510.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
37 |
$460.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
14 |
$413.82 |
| 90686 |
|
56 |
40 |
$346.34 |