| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,436 |
3,342 |
$187K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,479 |
3,367 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,817 |
6,124 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,682 |
2,489 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,186 |
1,181 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,694 |
1,685 |
$19K |
| 87428 |
|
60 |
58 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
718 |
687 |
$4K |
| 96127 |
|
643 |
642 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
462 |
450 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
153 |
153 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
67 |
$2K |
| 90723 |
|
771 |
757 |
$2K |
| 92551 |
|
991 |
990 |
$2K |
| 81002 |
|
1,010 |
995 |
$2K |
| 90648 |
|
1,253 |
1,244 |
$2K |
| 90670 |
|
901 |
895 |
$2K |
| 90680 |
|
458 |
452 |
$1K |
| 99173 |
|
240 |
240 |
$978.10 |
| 99401 |
|
399 |
399 |
$864.55 |
| 83655 |
|
58 |
58 |
$714.56 |
| 90671 |
|
199 |
198 |
$604.56 |
| 90633 |
|
306 |
303 |
$381.05 |
| 90686 |
|
235 |
234 |
$377.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
34 |
$261.67 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$236.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$140.26 |
| 94760 |
|
28 |
25 |
$86.05 |
| 90681 |
|
38 |
36 |
$54.00 |
| 99000 |
|
14 |
14 |
$47.19 |
| 90647 |
|
14 |
14 |
$27.00 |
| 90700 |
|
25 |
25 |
$27.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
19 |
$0.97 |