| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,723 |
2,548 |
$164K |
| 87428 |
|
101 |
94 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
171 |
79 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
134 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
63 |
$690.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
27 |
$569.12 |
| 90461 |
|
12 |
12 |
$341.24 |