| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
886 |
691 |
$62K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
540 |
453 |
$16K |
| 90832 |
Psychotherapy, 30 minutes with patient |
150 |
83 |
$7K |
| 99199 |
Unlisted special service, procedure or report |
705 |
397 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
272 |
225 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
34 |
25 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
90 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
28 |
$572.60 |
| 96127 |
|
190 |
160 |
$542.07 |
| 99173 |
|
29 |
13 |
$1.00 |
| 90649 |
|
16 |
13 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
598 |
496 |
$0.00 |