| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
917 |
817 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
334 |
303 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
316 |
148 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
40 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
126 |
122 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
99 |
95 |
$852.47 |
| 92551 |
|
47 |
47 |
$58.87 |
| 96160 |
|
25 |
25 |
$53.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
509 |
487 |
$3.06 |
| 90655 |
|
15 |
14 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
449 |
428 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
32 |
29 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12 |
12 |
$0.00 |