| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
59 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
49 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$920.96 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$870.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
20 |
$611.51 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
16 |
16 |
$382.30 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
57 |
41 |
$349.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20 |
20 |
$312.32 |
| 92587 |
|
12 |
12 |
$219.81 |
| 96161 |
|
23 |
23 |
$38.64 |
| 88738 |
|
12 |
12 |
$20.34 |
| 99072 |
|
57 |
41 |
$0.00 |
| 99000 |
|
57 |
41 |
$0.00 |