| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,779 |
1,475 |
$13K |
| 0012A |
|
187 |
158 |
$6K |
| 0011A |
|
169 |
144 |
$3K |
| 0013A |
|
79 |
79 |
$3K |
| 0001A |
|
76 |
70 |
$3K |
| 0002A |
|
58 |
57 |
$2K |
| 0071A |
|
43 |
43 |
$2K |
| 0072A |
|
17 |
17 |
$680.00 |
| 90688 |
|
16 |
16 |
$44.60 |
| 92551 |
|
20 |
20 |
$33.06 |
| 85013 |
|
47 |
47 |
$20.10 |
| 81002 |
|
22 |
22 |
$10.67 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
15 |
$0.00 |
| 3074F |
|
16 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$0.00 |
| 91301 |
|
50 |
45 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
263 |
230 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 99072 |
|
15 |
15 |
$0.00 |
| 3078F |
|
30 |
28 |
$0.00 |