| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,495 |
1,339 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
233 |
230 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
57 |
53 |
$2K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
213 |
207 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$555.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
26 |
$311.86 |
| 90686 |
|
217 |
215 |
$184.34 |
| 94760 |
|
17 |
17 |
$33.60 |
| 99072 |
|
70 |
65 |
$0.00 |
| 96127 |
|
53 |
53 |
$0.00 |