| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
69 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
61 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
166 |
100 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
43 |
41 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
86 |
$3K |
| 96127 |
|
36 |
36 |
$711.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$201.63 |