| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,029 |
943 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
94 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
254 |
240 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
147 |
147 |
$3K |
| 90688 |
|
519 |
502 |
$962.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$186.48 |
| 99173 |
|
16 |
14 |
$143.59 |
| 92551 |
|
13 |
12 |
$116.93 |
| 99000 |
|
13 |
12 |
$13.00 |
| 90658 |
|
13 |
13 |
$0.00 |