| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
1,077 |
$65K |
| 90837 |
Psychotherapy, 53 minutes with patient |
102 |
52 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
59 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
100 |
90 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
26 |
13 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$466.35 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
13 |
$179.75 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
12 |
$136.54 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
41 |
$94.95 |
| 90461 |
|
30 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
72 |
57 |
$0.00 |