| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
273 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
73 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
148 |
120 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
339 |
338 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
52 |
51 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
85 |
85 |
$872.95 |
| 0071A |
|
18 |
18 |
$825.84 |
| 0072A |
|
18 |
18 |
$825.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$531.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$495.45 |
| 96127 |
|
13 |
13 |
$133.51 |