| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,065 |
1,706 |
$54K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
204 |
172 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
141 |
135 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
71 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
55 |
$4K |
| 99460 |
|
52 |
52 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
230 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
55 |
32 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
91 |
86 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
51 |
$360.87 |
| 90686 |
|
52 |
49 |
$336.50 |
| 90670 |
|
12 |
12 |
$319.14 |
| 90647 |
|
13 |
13 |
$18.22 |