| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
395 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
75 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
347 |
347 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
231 |
139 |
$9K |
| 96127 |
|
318 |
318 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
42 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
71 |
71 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$391.48 |