| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
815 |
803 |
$71K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
256 |
250 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
199 |
199 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
110 |
53 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 96127 |
|
44 |
44 |
$682.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$297.20 |
| 99051 |
|
12 |
12 |
$0.00 |