| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,425 |
2,213 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,160 |
1,869 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
137 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
39 |
$555.58 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
14 |
$513.63 |
| 81002 |
|
185 |
183 |
$277.72 |
| 96127 |
|
30 |
29 |
$78.84 |
| 81003 |
|
34 |
33 |
$55.42 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$27.06 |
| 36415 |
Collection of venous blood by venipuncture |
232 |
226 |
$23.18 |
| 94760 |
|
17 |
17 |
$3.50 |