| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,010 |
909 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
274 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$213.90 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$200.24 |
| 90686 |
|
291 |
147 |
$2.91 |