| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,908 |
4,862 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,856 |
1,801 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,914 |
1,889 |
$66K |
| 92552 |
|
3,441 |
3,278 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
729 |
690 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
797 |
777 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
413 |
408 |
$23K |
| 97802 |
|
1,881 |
1,881 |
$10K |
| 85018 |
|
3,331 |
3,189 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,222 |
7,975 |
$9K |
| 99173 |
|
2,560 |
2,439 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
226 |
226 |
$5K |
| 81002 |
|
3,181 |
2,947 |
$3K |
| 0072A |
|
68 |
68 |
$3K |
| 0071A |
|
67 |
67 |
$3K |
| 90686 |
|
1,317 |
1,301 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,061 |
1,944 |
$1K |
| 90677 |
|
73 |
71 |
$850.60 |
| 81003 |
|
430 |
418 |
$842.50 |
| 90672 |
|
88 |
88 |
$702.00 |
| 96127 |
|
122 |
115 |
$613.70 |
| 90633 |
|
377 |
375 |
$365.67 |
| 90744 |
|
135 |
134 |
$175.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$153.00 |
| 90461 |
|
1,102 |
928 |
$72.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
56 |
53 |
$41.38 |
| 81000 |
|
28 |
28 |
$14.35 |
| 90670 |
|
678 |
671 |
$0.00 |
| 90700 |
|
392 |
388 |
$0.00 |
| 90648 |
|
312 |
308 |
$0.00 |
| 90713 |
|
158 |
155 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
48 |
48 |
$0.00 |
| 90685 |
|
238 |
237 |
$0.00 |
| 90707 |
|
62 |
62 |
$0.00 |
| 90710 |
|
77 |
76 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90651 |
|
131 |
131 |
$0.00 |
| 90716 |
|
62 |
62 |
$0.00 |
| 90680 |
|
151 |
149 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 87430 |
|
15 |
15 |
$0.00 |
| 90688 |
|
139 |
139 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |