| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
67,762 |
67,211 |
$351K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
900 |
667 |
$16K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
799 |
588 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
121 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
101 |
78 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
204 |
152 |
$2K |
| 96127 |
|
475 |
391 |
$2K |
| 0012A |
|
25 |
24 |
$1K |
| 99502 |
|
28 |
16 |
$660.00 |
| 36415 |
Collection of venous blood by venipuncture |
357 |
288 |
$650.30 |
| 99501 |
|
22 |
12 |
$582.90 |
| 96160 |
|
217 |
181 |
$552.75 |
| 81025 |
|
16 |
13 |
$118.68 |
| 99000 |
|
171 |
110 |
$0.00 |
| 91301 |
|
29 |
27 |
$0.00 |
| 00CV0 |
|
66 |
62 |
$0.00 |