| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
371 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
89 |
87 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
26 |
$281.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
49 |
$265.84 |
| 87999 |
|
13 |
13 |
$156.00 |
| 3008F |
|
12 |
12 |
$120.00 |
| 96127 |
|
15 |
15 |
$44.10 |
| 99173 |
|
13 |
13 |
$28.34 |