| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
805 |
783 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
241 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
504 |
502 |
$19K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,038 |
1,038 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
143 |
143 |
$7K |
| 96127 |
|
561 |
526 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
437 |
432 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
128 |
128 |
$3K |
| 99173 |
|
129 |
129 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
65 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$994.32 |
| 94760 |
|
489 |
480 |
$966.24 |
| 99188 |
|
13 |
13 |
$338.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$199.60 |
| 96160 |
|
40 |
40 |
$162.12 |
| 92551 |
|
12 |
12 |
$101.16 |