| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
582 |
571 |
$52K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
189 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
177 |
93 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
48 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$757.86 |
| 96127 |
|
38 |
38 |
$754.87 |