| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
554 |
529 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
234 |
227 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
35 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
66 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
237 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
90 |
89 |
$2K |
| 87400 |
|
36 |
35 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$749.53 |
| 99188 |
|
13 |
13 |
$510.38 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
29 |
$449.79 |