| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,282 |
1,081 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
448 |
377 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
54 |
$1K |
| 87400 |
|
212 |
97 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$382.62 |
| 90686 |
|
25 |
25 |
$137.68 |
| 36415 |
Collection of venous blood by venipuncture |
142 |
128 |
$123.61 |