| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,154 |
1,890 |
$180K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,349 |
1,077 |
$81K |
| 82947 |
|
706 |
628 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
142 |
134 |
$1K |
| 83037 |
|
97 |
95 |
$1K |
| 99490 |
Ccm add 20min |
275 |
253 |
$1K |
| 91320 |
|
13 |
13 |
$944.46 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
13 |
$724.58 |
| 90686 |
|
37 |
31 |
$484.07 |
| 90480 |
|
13 |
13 |
$413.93 |
| 93000 |
|
12 |
12 |
$196.31 |
| 96127 |
|
13 |
13 |
$116.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$10.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |