| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,515 |
4,839 |
$356K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
110 |
110 |
$10K |
| 93000 |
|
326 |
326 |
$5K |
| 99385 |
|
26 |
26 |
$3K |
| 99487 |
Ccm add 20min |
31 |
31 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
26 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,104 |
2,066 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
51 |
$683.88 |
| 90688 |
|
35 |
35 |
$682.16 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19 |
17 |
$613.28 |
| 3008F |
|
357 |
357 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
13 |
$0.00 |
| 99000 |
|
38 |
32 |
$0.00 |