| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
595 |
546 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
56 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$260.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$258.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$140.00 |
| 96127 |
|
20 |
15 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |