| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,783 |
7,624 |
$163K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,708 |
5,561 |
$141K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,841 |
1,816 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,024 |
1,010 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,298 |
1,281 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,270 |
1,245 |
$47K |
| 90461 |
|
2,466 |
2,418 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
818 |
799 |
$31K |
| 90651 |
|
323 |
299 |
$15K |
| 90620 |
|
214 |
208 |
$14K |
| 90686 |
|
1,876 |
1,710 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,316 |
1,272 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
242 |
216 |
$7K |
| 90734 |
|
211 |
211 |
$7K |
| 0071A |
|
152 |
152 |
$6K |
| 0072A |
|
147 |
147 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
219 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,728 |
8,023 |
$6K |
| 90670 |
|
290 |
214 |
$2K |
| 0001A |
|
58 |
57 |
$2K |
| 0002A |
|
55 |
55 |
$2K |
| 90715 |
|
123 |
118 |
$1K |
| 99381 |
|
28 |
28 |
$1K |
| 90674 |
|
263 |
257 |
$1K |
| 36416 |
|
112 |
110 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
4,246 |
4,214 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,642 |
1,572 |
$558.00 |
| 92551 |
|
4,150 |
4,093 |
$555.66 |
| 90656 |
|
240 |
239 |
$484.79 |
| 90677 |
|
253 |
233 |
$474.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$460.10 |
| 90633 |
|
158 |
140 |
$414.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
986 |
966 |
$284.40 |
| 99188 |
|
18 |
18 |
$270.00 |
| 90696 |
|
20 |
20 |
$186.63 |
| 96127 |
|
4,587 |
4,515 |
$151.62 |
| 90671 |
|
154 |
151 |
$149.00 |
| 90697 |
|
181 |
168 |
$141.20 |
| 97802 |
|
6,924 |
6,769 |
$137.94 |
| 96160 |
|
1,972 |
1,939 |
$75.69 |
| 90648 |
|
25 |
25 |
$35.26 |
| 81002 |
|
28 |
28 |
$17.78 |
| 90661 |
|
170 |
170 |
$15.52 |
| 90698 |
|
56 |
51 |
$1.00 |
| 99051 |
|
2,622 |
2,379 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
35 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| 91300 |
|
158 |
154 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 86005 |
|
126 |
123 |
$0.00 |
| 99000 |
|
2,667 |
2,599 |
$0.00 |
| 91307 |
|
366 |
354 |
$0.00 |
| 3008F |
|
4,408 |
4,339 |
$0.00 |
| 91305 |
|
78 |
78 |
$0.00 |