| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
571 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
480 |
419 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
392 |
366 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
184 |
176 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
147 |
58 |
$2K |
| 99000 |
|
371 |
203 |
$1K |
| 86328 |
|
28 |
28 |
$1K |
| 90682 |
|
19 |
15 |
$627.53 |
| 90688 |
|
26 |
25 |
$549.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
39 |
$519.66 |
| 90686 |
|
12 |
12 |
$209.33 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$207.84 |
| 36416 |
|
31 |
30 |
$47.74 |