| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,051 |
924 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
299 |
271 |
$14K |
| 90686 |
|
188 |
166 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
32 |
$817.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
105 |
$693.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
54 |
$650.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
21 |
$527.44 |