| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
623 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
899 |
771 |
$51K |
| 90837 |
Psychotherapy, 53 minutes with patient |
134 |
103 |
$14K |
| 90834 |
Psychotherapy, 45 minutes with patient |
115 |
68 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
171 |
163 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
285 |
235 |
$2K |
| 0064A |
|
35 |
34 |
$1K |
| 0004A |
|
12 |
12 |
$461.40 |
| 0002A |
|
13 |
13 |
$461.40 |
| 0001A |
|
15 |
13 |
$422.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$357.84 |
| 90686 |
|
14 |
14 |
$266.42 |
| 99442 |
|
13 |
13 |
$131.37 |
| 99441 |
|
14 |
14 |
$45.40 |