| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
587 |
572 |
$51K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
167 |
165 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
46 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
96 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
142 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$793.62 |
| 87400 |
|
15 |
15 |
$495.60 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$252.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$239.72 |
| 87081 |
|
15 |
15 |
$136.80 |