| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,499 |
1,403 |
$105K |
| 99050 |
|
43 |
41 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
62 |
55 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
61 |
$651.34 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
21 |
$437.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$245.06 |