| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
288 |
228 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
189 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
70 |
$686.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
32 |
$366.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
29 |
$249.84 |