| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,484 |
1,407 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
178 |
$3K |
| 90674 |
|
15 |
15 |
$68.82 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$8.34 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
328 |
321 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
123 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
336 |
326 |
$0.00 |