| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,056 |
5,192 |
$361K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,092 |
1,907 |
$91K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
210 |
175 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14 |
13 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$1K |
| 90707 |
|
17 |
16 |
$970.63 |
| 96127 |
|
67 |
58 |
$913.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$614.72 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$518.62 |
| 90715 |
|
14 |
12 |
$415.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$363.35 |
| 90686 |
|
23 |
12 |
$248.07 |