| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
344 |
314 |
$29K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
441 |
435 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
82 |
75 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
15 |
$820.96 |
| 0072A |
|
15 |
15 |
$600.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$340.62 |
| 99173 |
|
12 |
12 |
$4.44 |
| 90686 |
|
57 |
57 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 91307 |
|
17 |
14 |
$0.00 |