| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
151 |
144 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
73 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
100 |
95 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
39 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
41 |
$517.01 |
| 90686 |
|
36 |
36 |
$0.00 |