| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
119 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
187 |
178 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
173 |
$444.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$41.43 |
| 90686 |
|
16 |
16 |
$20.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
28 |
$15.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
12 |
$0.00 |