| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,090 |
936 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
96 |
$2K |
| 99441 |
|
277 |
211 |
$2K |
| 90688 |
|
57 |
57 |
$744.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
85 |
$555.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$152.40 |