| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
510 |
484 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
193 |
191 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
303 |
237 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
456 |
452 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
75 |
75 |
$770.25 |
| 96127 |
|
53 |
53 |
$677.82 |
| 0072A |
|
13 |
13 |
$596.44 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
19 |
$445.93 |
| 94760 |
|
25 |
24 |
$63.25 |
| 85018 |
|
12 |
12 |
$28.72 |