| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,764 |
2,415 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
468 |
436 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
219 |
87 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
19 |
$518.48 |
| 90686 |
|
20 |
19 |
$173.41 |
| 90662 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
89 |
76 |
$0.00 |
| 90688 |
|
33 |
33 |
$0.00 |