| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
75 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
26 |
$468.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$416.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
26 |
$309.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
43 |
$66.20 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$24.73 |
| 90461 |
|
12 |
12 |
$19.62 |
| 96127 |
|
14 |
14 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |