| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,477 |
1,241 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
565 |
488 |
$38K |
| 90686 |
|
92 |
79 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
31 |
$654.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |