| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,345 |
2,492 |
$119K |
| 99199 |
Unlisted special service, procedure or report |
11,626 |
10,237 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
857 |
573 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
479 |
345 |
$6K |
| 90756 |
|
92 |
67 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$183.30 |
| 90686 |
|
129 |
83 |
$115.85 |
| 81002 |
|
44 |
26 |
$47.85 |
| 2028F |
|
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
75 |
43 |
$0.00 |
| 90674 |
|
80 |
51 |
$0.00 |