| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
337 |
330 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
115 |
115 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
131 |
131 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
170 |
170 |
$2K |
| 0072A |
|
17 |
17 |
$857.99 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
15 |
$552.15 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$413.70 |
| 96127 |
|
95 |
95 |
$404.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
37 |
$395.90 |