| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
751 |
737 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
364 |
364 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
109 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
941 |
941 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
606 |
606 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
245 |
243 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
61 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 99051 |
|
178 |
176 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$3K |
| 96127 |
|
193 |
193 |
$2K |
| 90461 |
|
12 |
12 |
$475.25 |
| 85018 |
|
138 |
138 |
$295.45 |
| 99000 |
|
43 |
43 |
$52.00 |