| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,146 |
7,923 |
$173K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,224 |
6,024 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,121 |
2,072 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,552 |
1,533 |
$57K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,120 |
1,101 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,439 |
1,396 |
$53K |
| 90461 |
|
2,800 |
2,725 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
995 |
972 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
389 |
343 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,892 |
1,848 |
$12K |
| 90686 |
|
1,927 |
1,744 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
425 |
386 |
$10K |
| 0072A |
|
207 |
205 |
$8K |
| 99188 |
|
549 |
541 |
$8K |
| 0071A |
|
174 |
174 |
$7K |
| 90651 |
|
140 |
128 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,107 |
6,661 |
$5K |
| 90734 |
|
99 |
99 |
$4K |
| 0001A |
|
84 |
84 |
$3K |
| 90620 |
|
56 |
55 |
$3K |
| 0002A |
|
53 |
53 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,217 |
2,152 |
$2K |
| 90677 |
|
301 |
276 |
$2K |
| 90670 |
|
328 |
225 |
$2K |
| 36416 |
|
156 |
133 |
$1K |
| 90633 |
|
230 |
212 |
$910.39 |
| 90715 |
|
67 |
64 |
$885.89 |
| S9451 |
Exercise classes, non-physician provider, per session |
3,601 |
3,562 |
$865.00 |
| 90674 |
|
200 |
193 |
$776.26 |
| 92551 |
|
3,422 |
3,363 |
$576.24 |
| 90656 |
|
243 |
243 |
$562.10 |
| 0054A |
|
14 |
14 |
$560.00 |
| 83655 |
|
30 |
30 |
$290.00 |
| 90707 |
|
49 |
28 |
$174.93 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
691 |
683 |
$154.70 |
| 96127 |
|
4,426 |
4,335 |
$149.06 |
| 90671 |
|
142 |
140 |
$146.00 |
| 90697 |
|
194 |
180 |
$135.39 |
| 81002 |
|
421 |
396 |
$87.36 |
| 90648 |
|
37 |
37 |
$52.89 |
| 96160 |
|
1,512 |
1,483 |
$49.59 |
| 97802 |
|
7,155 |
6,974 |
$45.98 |
| 99051 |
|
2,186 |
2,103 |
$0.00 |
| 90661 |
|
75 |
75 |
$0.00 |
| 99401 |
|
50 |
50 |
$0.00 |
| 99177 |
|
13 |
13 |
$0.00 |
| 91300 |
|
181 |
169 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
95 |
$0.00 |
| 90681 |
|
24 |
24 |
$0.00 |
| 91308 |
|
43 |
42 |
$0.00 |
| 90698 |
|
88 |
71 |
$0.00 |
| 99000 |
|
3,217 |
3,128 |
$0.00 |
| 3008F |
|
3,851 |
3,768 |
$0.00 |
| 94760 |
|
24 |
24 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$0.00 |
| 91307 |
|
457 |
427 |
$0.00 |
| 86005 |
|
124 |
122 |
$0.00 |
| 91305 |
|
70 |
69 |
$0.00 |