| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,061 |
1,031 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
310 |
$59K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
360 |
356 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
706 |
704 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
99 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
236 |
142 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
238 |
238 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$5K |
| 96127 |
|
103 |
103 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
83 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 87081 |
|
56 |
55 |
$505.25 |
| 87400 |
|
13 |
13 |
$429.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$217.14 |