| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
261 |
246 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
298 |
230 |
$8K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
302 |
302 |
$3K |
| 96127 |
|
105 |
95 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
77 |
65 |
$790.79 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
18 |
$443.27 |
| 99177 |
|
12 |
12 |
$210.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$131.40 |