| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,712 |
3,419 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,565 |
2,302 |
$150K |
| 90686 |
|
206 |
194 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
61 |
$586.15 |
| 90688 |
|
34 |
33 |
$304.88 |
| 90687 |
|
17 |
17 |
$162.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$152.52 |