| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,938 |
5,230 |
$413K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
866 |
782 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
891 |
843 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
265 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
521 |
504 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
107 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
461 |
446 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
138 |
$7K |
| 86328 |
|
88 |
86 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
80 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
99 |
89 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
41 |
41 |
$293.37 |
| 36416 |
|
88 |
86 |
$234.96 |
| 90686 |
|
19 |
19 |
$53.46 |
| 96160 |
|
14 |
14 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |