| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
776 |
621 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
152 |
$3K |
| 87070 |
|
324 |
287 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
288 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$921.18 |
| 90461 |
|
32 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
79 |
$0.00 |