| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
570 |
552 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
100 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
140 |
139 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
15 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
28 |
$787.57 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$327.84 |