| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
140 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
50 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
73 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
22 |
$307.19 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$103.27 |
| 87081 |
|
14 |
13 |
$51.91 |
| 99173 |
|
13 |
12 |
$25.92 |