| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
639 |
544 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
328 |
302 |
$12K |
| 99401 |
|
61 |
59 |
$598.50 |
| 81002 |
|
207 |
191 |
$573.96 |
| 94760 |
|
582 |
467 |
$513.28 |
| 99000 |
|
54 |
51 |
$389.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$375.03 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$170.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$92.83 |
| 81003 |
|
45 |
37 |
$85.69 |
| 81000 |
|
17 |
17 |
$43.94 |
| 91300 |
|
13 |
12 |
$8.75 |