| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,481 |
8,864 |
$654K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,731 |
3,185 |
$290K |
| 99406 |
|
5,402 |
4,170 |
$45K |
| 99215 |
Prolong outpt/office vis |
241 |
222 |
$23K |
| 80305 |
|
2,784 |
2,379 |
$23K |
| 99205 |
Prolong outpt/office vis |
52 |
50 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
138 |
137 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
391 |
388 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
846 |
810 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
68 |
$3K |
| 93000 |
|
230 |
229 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
203 |
176 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
43 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,215 |
1,143 |
$1K |
| 94010 |
|
53 |
51 |
$951.13 |
| 81003 |
|
643 |
610 |
$888.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
30 |
$562.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$165.36 |
| 94760 |
|
12 |
12 |
$0.00 |
| 99000 |
|
43 |
40 |
$0.00 |