| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
853 |
735 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
436 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
973 |
896 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
157 |
146 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
416 |
325 |
$5K |
| 90686 |
|
625 |
546 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
55 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
144 |
124 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
24 |
$2K |
| 99177 |
|
119 |
108 |
$2K |
| 90656 |
|
106 |
105 |
$713.34 |
| 90670 |
|
26 |
25 |
$271.57 |
| 94760 |
|
29 |
26 |
$51.30 |
| 99000 |
|
30 |
26 |
$0.00 |
| 99072 |
|
92 |
86 |
$0.00 |