| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,266 |
1,823 |
$159K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
543 |
483 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
32 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
36 |
$485.10 |
| 90707 |
|
12 |
12 |
$440.00 |
| 90461 |
|
16 |
16 |
$270.00 |
| 81002 |
|
38 |
38 |
$90.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
18 |
$14.00 |
| 99173 |
|
12 |
12 |
$2.86 |