| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,325 |
3,028 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
147 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
317 |
307 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
190 |
183 |
$5K |
| 90686 |
|
409 |
374 |
$2K |
| 92552 |
|
93 |
89 |
$2K |
| 99174 |
|
37 |
36 |
$427.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
25 |
$399.57 |
| 99000 |
|
277 |
249 |
$107.27 |
| 90672 |
|
12 |
12 |
$82.62 |
| 90656 |
|
29 |
29 |
$23.53 |
| 90688 |
|
234 |
231 |
$18.78 |
| 91307 |
|
28 |
28 |
$0.00 |