| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,884 |
2,580 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,317 |
1,079 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
355 |
284 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
189 |
182 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
49 |
$1K |
| 99173 |
|
130 |
123 |
$21.00 |
| 90686 |
|
57 |
51 |
$0.00 |