| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,640 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
790 |
716 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,999 |
1,815 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
420 |
177 |
$3K |
| 92551 |
|
88 |
85 |
$661.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
15 |
$461.30 |
| 90686 |
|
17 |
17 |
$0.00 |