| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
754 |
685 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
543 |
537 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
70 |
$6K |
| 92588 |
|
104 |
104 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$429.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$380.00 |
| 85018 |
|
141 |
141 |
$275.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$220.00 |
| 81003 |
|
54 |
54 |
$107.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$103.53 |
| 81002 |
|
31 |
31 |
$62.62 |
| 99173 |
|
94 |
94 |
$31.36 |
| 94760 |
|
526 |
468 |
$2.89 |
| 99000 |
|
55 |
52 |
$0.00 |