| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,489 |
1,208 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
317 |
$19K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
453 |
372 |
$8K |
| 99215 |
Prolong outpt/office vis |
62 |
56 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
186 |
$3K |
| 96151 |
|
129 |
129 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
14 |
$2K |
| 0071A |
|
46 |
43 |
$2K |
| 0002A |
|
32 |
32 |
$1K |
| 96150 |
|
66 |
66 |
$1K |
| 0003A |
|
26 |
26 |
$1K |
| 0001A |
|
23 |
23 |
$920.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$888.80 |
| 90686 |
|
35 |
34 |
$822.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
151 |
$731.59 |
| 96127 |
|
140 |
128 |
$686.93 |
| 0004A |
|
16 |
16 |
$630.00 |
| 0072A |
|
18 |
18 |
$630.00 |
| 99000 |
|
179 |
167 |
$614.82 |
| 90688 |
|
23 |
22 |
$423.70 |
| 99407 |
|
16 |
12 |
$298.95 |
| 99072 |
|
110 |
65 |
$51.95 |
| 36415 |
Collection of venous blood by venipuncture |
175 |
166 |
$24.39 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
13 |
$14.12 |
| 99173 |
|
58 |
58 |
$0.00 |