| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,761 |
1,703 |
$17K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,038 |
1,031 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,546 |
778 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
293 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
12 |
$5K |
| 96127 |
|
357 |
329 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
64 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
174 |
173 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$128.18 |
| 92551 |
|
12 |
12 |
$114.84 |
| 99383 |
|
12 |
12 |
$94.36 |
| 90656 |
|
161 |
157 |
$53.07 |
| 85018 |
|
13 |
13 |
$26.86 |
| 99072 |
|
14 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |