| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
189 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
188 |
187 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
32 |
$3K |
| 99429 |
|
176 |
90 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
55 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
63 |
$1K |
| 87070 |
|
48 |
48 |
$558.18 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
150 |
117 |
$0.86 |