| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
697 |
485 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
117 |
$3K |
| 96127 |
|
601 |
234 |
$2K |
| 92552 |
|
128 |
89 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
161 |
124 |
$1K |
| 3008F |
|
212 |
175 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
24 |
$460.33 |
| 99173 |
|
104 |
79 |
$180.69 |
| 90688 |
|
14 |
13 |
$0.00 |
| 90686 |
|
48 |
40 |
$0.00 |