| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
819 |
730 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
352 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
147 |
138 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
81 |
$1K |
| 96127 |
|
53 |
28 |
$283.72 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
14 |
$150.05 |
| 85018 |
|
45 |
38 |
$87.88 |
| 99177 |
|
14 |
14 |
$45.08 |
| 81002 |
|
12 |
12 |
$23.43 |
| 90686 |
|
348 |
178 |
$3.45 |