| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
738 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
461 |
430 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
129 |
83 |
$2K |
| 87428 |
|
19 |
19 |
$780.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$110.04 |
| 90686 |
|
109 |
66 |
$9.87 |