| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,434 |
1,259 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
270 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
451 |
416 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
24 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
62 |
$986.64 |