| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,621 |
2,334 |
$163K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,857 |
2,470 |
$103K |
| T1015 |
Clinic visit/encounter, all-inclusive |
455 |
325 |
$21K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
121 |
117 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
51 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
85 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
17 |
$1K |
| 90686 |
|
34 |
33 |
$408.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
40 |
$0.00 |