| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,442 |
7,088 |
$313K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,009 |
2,585 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,332 |
994 |
$80K |
| 95251 |
|
590 |
482 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
39 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
266 |
234 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
82 |
54 |
$962.07 |
| 90682 |
|
24 |
12 |
$651.51 |
| 82962 |
|
277 |
238 |
$436.73 |
| 73130 |
|
82 |
16 |
$418.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
24 |
$280.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
12 |
$150.84 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
26 |
17 |
$82.95 |
| 3008F |
|
596 |
239 |
$0.13 |
| 3078F |
|
169 |
144 |
$0.00 |
| 3074F |
|
168 |
143 |
$0.00 |
| 3079F |
|
59 |
50 |
$0.00 |
| 3075F |
|
29 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
38 |
28 |
$0.00 |