| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
857 |
825 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
219 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
436 |
359 |
$11K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
574 |
574 |
$5K |
| 96127 |
|
284 |
284 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
47 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
58 |
58 |
$2K |
| 99177 |
|
59 |
59 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
62 |
$636.74 |
| 94760 |
|
46 |
45 |
$89.10 |