| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
734 |
627 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223 |
189 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
136 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
270 |
197 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
25 |
25 |
$56.31 |
| 90686 |
|
60 |
56 |
$52.22 |
| G8482 |
Influenza immunization administered or previously received |
64 |
57 |
$0.00 |
| 90670 |
|
15 |
13 |
$0.00 |
| 96127 |
|
171 |
131 |
$0.00 |