| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
701 |
676 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
533 |
429 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
130 |
$13K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
722 |
722 |
$6K |
| 96127 |
|
193 |
192 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
118 |
118 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
30 |
$703.80 |
| 99177 |
|
12 |
12 |
$420.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$409.00 |
| 92551 |
|
26 |
26 |
$232.26 |
| 99000 |
|
12 |
12 |
$12.00 |