| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
410 |
289 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
214 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
23 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
14 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
101 |
90 |
$964.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
54 |
49 |
$942.47 |
| 90656 |
|
43 |
43 |
$751.69 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
29 |
$310.00 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
66 |
$55.70 |