| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,953 |
1,420 |
$55K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
110 |
103 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
46 |
40 |
$87.74 |
| 90756 |
|
81 |
53 |
$61.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
19 |
$54.98 |
| 86580 |
|
49 |
45 |
$53.10 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
14 |
$26.37 |
| T1015 |
Clinic visit/encounter, all-inclusive |
869 |
668 |
$0.03 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
60 |
35 |
$0.00 |