| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,713 |
9,508 |
$895K |
| 95144 |
|
1,537 |
292 |
$593K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,977 |
2,490 |
$138K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
629 |
588 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
382 |
377 |
$32K |
| 95923 |
|
287 |
279 |
$21K |
| 95921 |
|
290 |
281 |
$14K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
333 |
308 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
167 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
126 |
124 |
$11K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
278 |
237 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
479 |
309 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
94 |
93 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
99 |
90 |
$6K |
| 93923 |
|
25 |
25 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
16 |
$671.27 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
16 |
$445.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$384.75 |
| 82962 |
|
120 |
110 |
$230.19 |
| 95117 |
|
13 |
13 |
$107.90 |
| 85018 |
|
31 |
28 |
$71.92 |