| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
75 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
106 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
96 |
96 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
116 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
140 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
151 |
149 |
$1K |