| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,273 |
1,157 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
359 |
348 |
$36K |
| 99401 |
|
448 |
416 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,142 |
1,102 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
27 |
$1K |
| 93000 |
|
79 |
79 |
$1K |
| 90756 |
|
17 |
17 |
$495.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
26 |
$346.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$65.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,172 |
1,111 |
$50.99 |
| 99072 |
|
18 |
18 |
$0.00 |