| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
680 |
640 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
562 |
558 |
$20K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
613 |
611 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
192 |
185 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
52 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
289 |
287 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$997.80 |
| 96127 |
|
53 |
53 |
$523.79 |
| 99000 |
|
142 |
136 |
$142.00 |
| 92551 |
|
12 |
12 |
$71.69 |