| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
93 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
47 |
$2K |
| 0071A |
|
20 |
20 |
$917.60 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
94 |
94 |
$850.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
42 |
$605.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$552.15 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
12 |
$305.11 |