| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,038 |
889 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
673 |
587 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
119 |
$7K |
| 90686 |
|
394 |
376 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
291 |
289 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
88 |
80 |
$634.05 |
| 90656 |
|
125 |
125 |
$0.00 |