| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,077 |
1,687 |
$127K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,235 |
985 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
620 |
574 |
$7K |
| 90686 |
|
218 |
206 |
$656.15 |
| 99050 |
|
13 |
13 |
$354.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
25 |
$304.94 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$101.46 |