| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
938 |
882 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
54 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
52 |
51 |
$2K |
| 87428 |
|
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
66 |
65 |
$776.57 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$770.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
27 |
$729.24 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$600.00 |
| 90674 |
|
16 |
13 |
$331.10 |
| 90686 |
|
28 |
27 |
$181.79 |
| 96127 |
|
24 |
24 |
$57.38 |
| 90656 |
|
13 |
13 |
$15.67 |