| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,993 |
2,491 |
$128K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,308 |
3,646 |
$119K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
450 |
408 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
82 |
69 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
46 |
$547.06 |
| 90686 |
|
35 |
29 |
$418.89 |
| 90674 |
|
51 |
39 |
$360.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
26 |
$333.99 |
| G0008 |
Administration of influenza virus vaccine |
23 |
15 |
$0.00 |