| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
283 |
270 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
411 |
405 |
$36K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
131 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
42 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
105 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
48 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$833.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
30 |
$553.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$297.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$248.16 |
| 87081 |
|
27 |
27 |
$246.24 |