| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,143 |
1,093 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
382 |
361 |
$15K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
151 |
149 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
73 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
81 |
$2K |
| 96127 |
|
337 |
330 |
$125.13 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$123.07 |
| 1036F |
|
116 |
115 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
136 |
134 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
151 |
140 |
$0.00 |