| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,139 |
401 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
505 |
213 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
650 |
61 |
$48.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
25 |
$0.00 |
| 92552 |
|
207 |
31 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
296 |
16 |
$0.00 |
| 92081 |
|
189 |
16 |
$0.00 |