| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
318 |
$4K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
93 |
93 |
$789.49 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
167 |
100 |
$707.98 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$564.41 |
| 96127 |
|
49 |
45 |
$503.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$165.20 |