| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
379 |
365 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
106 |
101 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
264 |
263 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
50 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
76 |
76 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
39 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
68 |
68 |
$2K |
| 96127 |
|
98 |
98 |
$2K |