| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
581 |
561 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
484 |
470 |
$8K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
39 |
38 |
$5K |
| 96127 |
|
755 |
751 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
138 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$999.61 |
| 90461 |
|
13 |
13 |
$442.80 |
| 90686 |
|
400 |
391 |
$259.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$133.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$106.35 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$25.98 |
| 81003 |
|
12 |
12 |
$24.60 |
| 36416 |
|
14 |
14 |
$0.00 |
| 96160 |
|
393 |
389 |
$0.00 |
| 99072 |
|
44 |
41 |
$0.00 |