| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,478 |
1,238 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,055 |
1,767 |
$96K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
109 |
97 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
39 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$794.32 |
| 36415 |
Collection of venous blood by venipuncture |
127 |
108 |
$505.62 |
| 90688 |
|
17 |
16 |
$108.78 |
| 96127 |
|
14 |
12 |
$42.07 |