| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,109 |
1,082 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
334 |
333 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
129 |
$10K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
966 |
964 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
542 |
540 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
50 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
192 |
192 |
$4K |
| 99051 |
|
224 |
224 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
44 |
$3K |
| 96127 |
|
289 |
288 |
$3K |
| 90461 |
|
29 |
29 |
$944.64 |
| 99177 |
|
24 |
24 |
$432.00 |
| 85018 |
|
195 |
195 |
$415.11 |
| 99000 |
|
13 |
13 |
$14.00 |