| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183 |
172 |
$10K |
| 90686 |
|
59 |
58 |
$642.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
16 |
$227.28 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
94 |
53 |
$75.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$33.18 |