| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
380 |
375 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
150 |
149 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
40 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
64 |
64 |
$637.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
35 |
$374.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$280.70 |