| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
782 |
691 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
87 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
51 |
$876.48 |
| 92552 |
|
41 |
41 |
$657.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
31 |
$420.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$389.11 |
| 99173 |
|
42 |
42 |
$84.00 |
| 90686 |
|
13 |
13 |
$0.00 |