| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,465 |
1,320 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
140 |
136 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
184 |
179 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
235 |
$6K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
26 |
26 |
$4K |
| 92587 |
|
101 |
98 |
$3K |
| 96127 |
|
99 |
98 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
17 |
13 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
46 |
45 |
$1K |
| 90480 |
|
14 |
12 |
$480.00 |
| 90473 |
|
14 |
13 |
$315.36 |
| 92551 |
|
26 |
26 |
$162.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$125.95 |
| 90686 |
|
307 |
288 |
$115.68 |
| 99051 |
|
15 |
12 |
$104.16 |
| 99173 |
|
12 |
12 |
$91.20 |
| 90672 |
|
18 |
15 |
$53.76 |
| 90661 |
|
13 |
13 |
$0.00 |
| 88738 |
|
24 |
24 |
$0.00 |
| 90674 |
|
53 |
49 |
$0.00 |