| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,993 |
1,673 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
429 |
380 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
424 |
375 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
52 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
78 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
31 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
30 |
16 |
$913.38 |
| 87081 |
|
40 |
39 |
$360.05 |
| 90686 |
|
35 |
21 |
$197.78 |