| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
986 |
900 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
357 |
355 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
434 |
403 |
$20K |
| 92551 |
|
183 |
183 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$962.99 |
| 90461 |
|
13 |
13 |
$837.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
27 |
$625.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
44 |
$520.65 |
| 81002 |
|
217 |
216 |
$510.88 |
| 90686 |
|
179 |
179 |
$21.43 |
| 99051 |
|
121 |
114 |
$12.48 |
| 99173 |
|
171 |
171 |
$5.72 |
| 99072 |
|
331 |
307 |
$0.00 |