| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
159 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
173 |
172 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
19 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
17 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
13 |
$635.04 |
| 99051 |
|
16 |
16 |
$400.16 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$237.76 |