| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
267 |
224 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
51 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
74 |
$616.09 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$304.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
13 |
$202.50 |