| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,266 |
1,151 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
399 |
392 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
125 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
59 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
102 |
95 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
50 |
50 |
$876.72 |
| 99050 |
|
18 |
16 |
$546.48 |
| 96127 |
|
41 |
41 |
$262.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$251.91 |
| 90686 |
|
174 |
94 |
$116.70 |
| 94760 |
|
20 |
20 |
$35.60 |
| 99173 |
|
12 |
12 |
$25.90 |