| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
221 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
211 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
148 |
148 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
259 |
258 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
192 |
188 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
70 |
69 |
$2K |
| 90461 |
|
27 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$328.50 |
| 96127 |
|
24 |
24 |
$246.48 |
| 99177 |
|
12 |
12 |
$44.64 |