| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
980 |
858 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
125 |
104 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
35 |
33 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
139 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$228.25 |
| 90686 |
|
88 |
81 |
$38.06 |
| 97803 |
|
188 |
167 |
$0.00 |