| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97 |
95 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
267 |
266 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
77 |
77 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
39 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
12 |
$776.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$632.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$186.12 |