| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,753 |
1,585 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
976 |
873 |
$84K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
111 |
92 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
161 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
54 |
53 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
104 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
68 |
$1K |
| 87807 |
|
35 |
27 |
$301.30 |
| 90686 |
|
18 |
17 |
$156.45 |