| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,922 |
6,483 |
$186K |
| 93229 |
|
15 |
15 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
48 |
48 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
196 |
196 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
26 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$466.96 |
| 36415 |
Collection of venous blood by venipuncture |
520 |
488 |
$415.61 |
| 93228 |
|
15 |
15 |
$293.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
12 |
$85.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| 93000 |
|
12 |
12 |
$0.00 |
| 3725F |
|
42 |
38 |
$0.00 |