| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
517 |
508 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
560 |
553 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
451 |
442 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
145 |
145 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
476 |
476 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
377 |
220 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$6K |
| 96127 |
|
287 |
287 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
59 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
67 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$756.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$617.26 |
| 90461 |
|
40 |
13 |
$452.80 |
| 99051 |
|
15 |
15 |
$450.00 |
| 87081 |
|
39 |
39 |
$355.68 |