| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
734 |
693 |
$51K |
| 90686 |
|
63 |
63 |
$771.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
178 |
$584.92 |
| 99051 |
|
103 |
103 |
$381.79 |
| 99177 |
|
59 |
58 |
$43.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
20 |
20 |
$0.00 |