| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,082 |
938 |
$41K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
230 |
215 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
255 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
288 |
138 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
276 |
260 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
256 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 92551 |
|
110 |
104 |
$587.17 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48 |
42 |
$575.19 |
| 99188 |
|
42 |
21 |
$505.05 |
| 90473 |
|
28 |
28 |
$292.04 |
| 99173 |
|
171 |
163 |
$254.00 |
| 99051 |
|
14 |
14 |
$187.32 |
| 85018 |
|
55 |
53 |
$94.40 |
| 81002 |
|
25 |
24 |
$63.50 |
| 90672 |
|
36 |
36 |
$0.00 |
| 91300 |
|
17 |
16 |
$0.00 |
| 90686 |
|
51 |
42 |
$0.00 |