| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,324 |
3,031 |
$254K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,217 |
1,217 |
$95K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
499 |
499 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,397 |
2,149 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,233 |
2,196 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
381 |
378 |
$575.00 |
| 90686 |
|
465 |
465 |
$249.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
140 |
$114.36 |
| 81002 |
|
265 |
260 |
$12.18 |
| 86308 |
|
115 |
115 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
96 |
83 |
$0.00 |
| 36416 |
|
145 |
145 |
$0.00 |