| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
947 |
690 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
57 |
$6K |
| 92587 |
|
148 |
138 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
41 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
184 |
134 |
$100.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
15 |
$53.73 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
90 |
56 |
$20.00 |
| 99173 |
|
114 |
85 |
$0.00 |
| 99177 |
|
18 |
16 |
$0.00 |
| 90670 |
|
25 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
71 |
$0.00 |
| 92551 |
|
229 |
158 |
$0.00 |
| 90698 |
|
26 |
13 |
$0.00 |