| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,089 |
3,028 |
$291K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
816 |
658 |
$38K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
127 |
117 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
53 |
$4K |
| 99000 |
|
356 |
265 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
30 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
29 |
25 |
$965.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
31 |
$578.02 |
| 99173 |
|
51 |
41 |
$371.90 |
| 36415 |
Collection of venous blood by venipuncture |
220 |
135 |
$104.05 |
| 91300 |
|
15 |
13 |
$0.06 |