| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
572 |
$135K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
733 |
724 |
$65K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
216 |
209 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
447 |
447 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
204 |
136 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$3K |
| 96127 |
|
157 |
157 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
81 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
56 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$402.68 |
| 92551 |
|
16 |
16 |
$203.68 |
| 87081 |
|
13 |
13 |
$118.56 |