| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
382 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
293 |
276 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
151 |
142 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
20 |
$545.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
45 |
$438.80 |
| 90686 |
|
274 |
139 |
$226.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$184.88 |