| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
1,046 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
85 |
$6K |
| 87428 |
|
44 |
43 |
$2K |
| 99051 |
|
45 |
43 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
59 |
$528.04 |
| 96160 |
|
60 |
59 |
$210.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$109.39 |
| 81025 |
|
13 |
12 |
$60.18 |