| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
485 |
446 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
50 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
62 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
42 |
42 |
$639.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
25 |
$608.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$308.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$161.06 |
| 92551 |
|
13 |
13 |
$133.25 |