| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
982 |
868 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
51 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
51 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
62 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
70 |
$785.59 |
| 96127 |
|
47 |
27 |
$133.10 |
| 90686 |
|
143 |
70 |
$71.50 |