| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
261 |
206 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
216 |
181 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
66 |
28 |
$770.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
47 |
$404.31 |