| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,452 |
1,361 |
$103K |
| 99050 |
|
80 |
79 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
60 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
54 |
52 |
$749.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$628.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$124.63 |
| 90686 |
|
20 |
16 |
$9.50 |