| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
476 |
423 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
88 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$821.92 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
26 |
$475.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
17 |
$0.00 |