| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,479 |
3,253 |
$61K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,710 |
1,603 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
486 |
457 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
482 |
418 |
$6K |
| 92552 |
|
386 |
356 |
$5K |
| T1001 |
Nursing assessment / evaluation |
189 |
165 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
57 |
55 |
$4K |
| 90686 |
|
1,009 |
947 |
$3K |
| 99382 |
|
52 |
51 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
79 |
57 |
$2K |
| 96160 |
|
113 |
113 |
$2K |
| 99173 |
|
426 |
395 |
$2K |
| 0072A |
|
25 |
24 |
$960.00 |
| 83655 |
|
83 |
83 |
$913.67 |
| 0071A |
|
22 |
22 |
$840.00 |
| 92587 |
|
18 |
18 |
$828.18 |
| 90670 |
|
278 |
259 |
$618.38 |
| 90688 |
|
47 |
46 |
$578.00 |
| 0001A |
|
17 |
13 |
$520.00 |
| 0004A |
|
39 |
38 |
$440.00 |
| 99188 |
|
19 |
19 |
$373.16 |
| 90662 |
|
14 |
13 |
$372.00 |
| 85018 |
|
304 |
284 |
$356.44 |
| 97802 |
|
35 |
35 |
$320.00 |
| 90656 |
|
45 |
45 |
$220.92 |
| 90715 |
|
79 |
70 |
$38.00 |
| 90619 |
|
44 |
44 |
$0.25 |
| 90734 |
|
182 |
164 |
$0.00 |
| 90710 |
|
88 |
81 |
$0.00 |
| 90633 |
|
193 |
177 |
$0.00 |
| 91300 |
|
84 |
72 |
$0.00 |
| 90685 |
|
39 |
39 |
$0.00 |
| 91307 |
|
57 |
56 |
$0.00 |
| 90696 |
|
67 |
61 |
$0.00 |
| 90651 |
|
131 |
124 |
$0.00 |
| 90698 |
|
87 |
77 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |