| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
420 |
$25K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
97 |
95 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
78 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
109 |
109 |
$986.45 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
27 |
$657.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
46 |
46 |
$472.42 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$402.35 |
| 90461 |
|
12 |
12 |
$354.24 |