| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,675 |
5,174 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,042 |
941 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
377 |
369 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
355 |
325 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
153 |
$3K |
| 87428 |
|
35 |
32 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
20 |
17 |
$887.15 |
| 81002 |
|
205 |
195 |
$468.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$208.00 |
| 92551 |
|
32 |
32 |
$130.56 |
| 86701 |
|
15 |
15 |
$87.64 |
| 90686 |
|
162 |
141 |
$81.00 |
| 99173 |
|
34 |
34 |
$54.74 |
| 81025 |
|
14 |
14 |
$51.94 |