| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
716 |
698 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
204 |
187 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
278 |
239 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
357 |
357 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
112 |
112 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
86 |
$2K |
| 96127 |
|
65 |
64 |
$667.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
52 |
$534.04 |
| 99000 |
|
71 |
70 |
$70.00 |