| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
762 |
747 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
219 |
210 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
425 |
410 |
$17K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
867 |
866 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
554 |
552 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99051 |
|
58 |
57 |
$960.48 |
| 96127 |
|
88 |
86 |
$955.11 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
30 |
29 |
$703.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$633.95 |
| 90461 |
|
12 |
12 |
$373.92 |
| 85018 |
|
63 |
63 |
$136.08 |
| 99000 |
|
49 |
49 |
$59.00 |