| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
362 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
211 |
210 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
325 |
325 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
122 |
118 |
$1K |
| 96127 |
|
80 |
79 |
$985.92 |
| 90461 |
|
26 |
26 |
$924.96 |
| 0071A |
|
19 |
19 |
$871.72 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
12 |
$305.11 |
| 99173 |
|
12 |
12 |
$266.64 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
17 |
$220.14 |