| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
126 |
124 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
40 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
68 |
65 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
50 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
52 |
50 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
133 |
133 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
53 |
$544.31 |
| 90461 |
|
12 |
12 |
$403.44 |