| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,556 |
1,179 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
59 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
61 |
$501.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
30 |
$470.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
29 |
$328.33 |
| 1160F |
|
53 |
30 |
$290.00 |
| 1158F |
|
53 |
30 |
$290.00 |
| 1159F |
|
53 |
30 |
$290.00 |
| 1170F |
|
53 |
30 |
$290.00 |
| 90686 |
|
19 |
16 |
$234.59 |
| 1126F |
|
20 |
12 |
$100.00 |
| 3008F |
|
53 |
30 |
$0.00 |