| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
955 |
853 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,025 |
983 |
$33K |
| 90461 |
|
171 |
167 |
$10K |
| 90632 |
|
129 |
129 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
364 |
353 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
91 |
85 |
$5K |
| 90686 |
|
448 |
433 |
$4K |
| 99201 |
|
94 |
91 |
$3K |
| 90651 |
|
156 |
152 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
97 |
$2K |
| 90734 |
|
117 |
112 |
$2K |
| 90633 |
|
464 |
452 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27 |
27 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
27 |
$1K |
| 86580 |
|
118 |
96 |
$701.52 |
| 90715 |
|
39 |
36 |
$92.00 |