| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,124 |
1,072 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
323 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
601 |
517 |
$20K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
393 |
379 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
176 |
172 |
$5K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
482 |
481 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
162 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
68 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
122 |
$1K |
| 96127 |
|
84 |
82 |
$872.95 |
| 94760 |
|
154 |
152 |
$304.92 |