| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
589 |
263 |
$0.00 |
| 92551 |
|
34 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
15 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
863 |
381 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
44 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
13 |
$0.00 |
| 99173 |
|
37 |
19 |
$0.00 |
| 99051 |
|
26 |
13 |
$0.00 |