| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,231 |
2,746 |
$175K |
| 99215 |
Prolong outpt/office vis |
1,614 |
1,414 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,647 |
1,344 |
$59K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,392 |
1,171 |
$18K |
| 99442 |
|
127 |
114 |
$5K |
| 99443 |
|
70 |
59 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
102 |
93 |
$3K |
| 90686 |
|
280 |
265 |
$2K |
| 94200 |
|
100 |
93 |
$846.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
28 |
$752.50 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
12 |
$413.80 |
| 90674 |
|
43 |
32 |
$281.30 |
| 90688 |
|
65 |
54 |
$249.77 |
| 96127 |
|
14 |
13 |
$144.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
69 |
61 |
$84.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
159 |
$62.61 |
| 99058 |
|
266 |
239 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$0.00 |
| 81002 |
|
45 |
40 |
$0.00 |