| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
923 |
847 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
226 |
225 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
264 |
260 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$959.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
21 |
$250.37 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$220.82 |
| 85018 |
|
26 |
26 |
$67.04 |
| 81002 |
|
13 |
13 |
$34.56 |