| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,295 |
1,906 |
$70K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
157 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
25 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
104 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
42 |
$979.88 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
68 |
$816.23 |
| 90686 |
|
53 |
53 |
$784.62 |
| 92553 |
|
45 |
42 |
$550.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$430.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
15 |
$130.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
14 |
$123.19 |
| 81002 |
|
12 |
12 |
$6.96 |