| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,809 |
1,711 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
726 |
688 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,828 |
2,459 |
$40K |
| 90686 |
|
2,220 |
1,987 |
$6K |
| 0071A |
|
221 |
124 |
$6K |
| 0072A |
|
145 |
82 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
79 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
259 |
224 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
51 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 0001A |
|
33 |
20 |
$1K |
| 0112A |
|
13 |
12 |
$679.47 |
| 0003A |
|
14 |
13 |
$495.34 |
| 92552 |
|
19 |
16 |
$481.60 |
| 0002A |
|
16 |
13 |
$480.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
14 |
$246.73 |
| 90656 |
|
129 |
114 |
$134.31 |
| 99173 |
|
14 |
12 |
$116.05 |