| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
582 |
529 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
428 |
424 |
$2K |
| 90686 |
|
141 |
141 |
$381.72 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
128 |
128 |
$257.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
24 |
$183.58 |
| 99173 |
|
107 |
107 |
$156.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
18 |
$133.21 |
| 87081 |
|
15 |
14 |
$59.62 |
| 99000 |
|
22 |
19 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |