| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
565 |
486 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
139 |
126 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
54 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
13 |
$1K |
| 90686 |
|
18 |
18 |
$207.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
136 |
134 |
$34.65 |
| 90461 |
|
13 |
13 |
$0.00 |