| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,453 |
771 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$237.38 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$220.50 |
| 99051 |
|
116 |
24 |
$24.08 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
48 |
$21.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
847 |
204 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
17 |
$0.00 |