| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
658 |
535 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
199 |
178 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
380 |
367 |
$13K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
133 |
123 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
320 |
312 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
344 |
341 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
15 |
$1K |
| 99177 |
|
12 |
12 |
$300.00 |
| 96127 |
|
13 |
12 |
$133.51 |
| 85018 |
|
14 |
14 |
$29.26 |