| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
812 |
747 |
$46K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
131 |
126 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
206 |
172 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
150 |
145 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
157 |
157 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
52 |
$544.31 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$400.00 |
| 96127 |
|
25 |
24 |
$256.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$245.40 |
| 94760 |
|
16 |
14 |
$31.68 |