| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,073 |
1,039 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
561 |
531 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
747 |
534 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
117 |
117 |
$6K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
382 |
382 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
82 |
81 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
185 |
185 |
$2K |
| 96127 |
|
112 |
112 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$994.32 |
| 0071A |
|
21 |
21 |
$963.48 |
| 0072A |
|
13 |
13 |
$596.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$496.02 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
22 |
$321.20 |