| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
586 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
319 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
393 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
62 |
$848.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$445.68 |
| 96127 |
|
12 |
12 |
$32.67 |
| 90686 |
|
209 |
207 |
$0.00 |