| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
110 |
104 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170 |
140 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
123 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
26 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
63 |
54 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
183 |
119 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
16 |
15 |
$821.28 |
| 96127 |
|
23 |
12 |
$0.00 |
| 96160 |
|
372 |
213 |
$0.00 |