| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,059 |
971 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
365 |
346 |
$15K |
| 99307 |
|
602 |
553 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
79 |
$866.95 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
151 |
119 |
$798.83 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
29 |
20 |
$0.00 |
| 0004A |
|
29 |
20 |
$0.00 |