| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,175 |
2,052 |
$159K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
535 |
523 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
271 |
262 |
$613.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
71 |
$306.55 |
| 90686 |
|
113 |
112 |
$239.92 |
| 99051 |
|
120 |
119 |
$161.09 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$153.93 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
39 |
$110.75 |
| 90473 |
|
15 |
15 |
$87.12 |
| 99177 |
|
148 |
146 |
$77.56 |
| 90672 |
|
16 |
16 |
$58.08 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |