| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,039 |
13,932 |
$547K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,007 |
717 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
489 |
448 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
402 |
395 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
326 |
238 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
710 |
672 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
86 |
$1K |
| 90656 |
|
160 |
160 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$897.06 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$756.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
43 |
$565.19 |
| 90461 |
|
37 |
37 |
$529.72 |
| 90633 |
|
39 |
39 |
$216.46 |
| 83037 |
|
13 |
13 |
$98.26 |