| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,604 |
3,214 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
525 |
465 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
508 |
424 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
216 |
104 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
90 |
$2K |
| 90686 |
|
302 |
295 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
147 |
137 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
21 |
$349.81 |
| 87070 |
|
29 |
28 |
$175.40 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
501 |
438 |
$0.00 |