| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,708 |
1,553 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
679 |
410 |
$8K |
| 99050 |
|
57 |
56 |
$2K |
| 87428 |
|
32 |
32 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
42 |
$463.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$186.45 |
| 99173 |
|
26 |
25 |
$56.42 |
| 96127 |
|
12 |
12 |
$39.42 |
| 96160 |
|
12 |
12 |
$37.82 |
| 90686 |
|
52 |
38 |
$24.50 |