| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,281 |
1,161 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
398 |
384 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
78 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
50 |
50 |
$4K |
| 96112 |
|
41 |
41 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
68 |
$1K |
| 90461 |
|
29 |
25 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
126 |
107 |
$948.49 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
48 |
46 |
$566.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$455.20 |