| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
503 |
498 |
$43K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
278 |
266 |
$22K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
419 |
413 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
117 |
116 |
$3K |
| 96127 |
|
112 |
112 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
75 |
75 |
$1K |
| 87428 |
|
12 |
12 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
16 |
$564.48 |
| 83718 |
|
12 |
12 |
$135.48 |
| 82465 |
|
12 |
12 |
$71.88 |