| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,860 |
15,420 |
$9.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
237 |
202 |
$24K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
13 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
38 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
65 |
$3K |
| 0012A |
|
31 |
30 |
$1K |
| 0011A |
|
32 |
27 |
$823.62 |
| 0064A |
|
15 |
15 |
$600.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
30 |
$565.17 |
| 0134A |
|
14 |
13 |
$440.00 |
| 99347 |
|
15 |
15 |
$439.74 |
| 90656 |
|
20 |
19 |
$381.78 |
| 90688 |
|
19 |
18 |
$283.65 |
| 80061 |
Lipid panel |
12 |
12 |
$220.99 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$189.41 |
| 90686 |
|
13 |
13 |
$81.72 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$63.00 |
| 91301 |
|
100 |
92 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |
| 91313 |
|
14 |
13 |
$0.00 |