| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
137 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
158 |
155 |
$5K |
| 99441 |
|
114 |
106 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
22 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$592.41 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$138.16 |
| 99072 |
|
12 |
12 |
$0.00 |