| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,186 |
3,138 |
$76K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,197 |
2,160 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,138 |
1,135 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
728 |
728 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
495 |
490 |
$19K |
| 90461 |
|
831 |
820 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
286 |
282 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
108 |
106 |
$4K |
| 90686 |
|
421 |
338 |
$2K |
| 90651 |
|
29 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
73 |
73 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,410 |
3,232 |
$1K |
| 99188 |
|
60 |
60 |
$885.00 |
| 90620 |
|
15 |
12 |
$805.20 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
798 |
772 |
$547.50 |
| 90734 |
|
26 |
26 |
$404.31 |
| 90670 |
|
150 |
89 |
$226.43 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
729 |
715 |
$182.16 |
| 92551 |
|
2,345 |
2,333 |
$174.93 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,390 |
2,376 |
$110.00 |
| 96127 |
|
2,867 |
2,822 |
$46.26 |
| 96160 |
|
1,023 |
1,018 |
$13.05 |
| 99051 |
|
1,246 |
1,203 |
$0.00 |
| 81002 |
|
134 |
131 |
$0.00 |
| 99173 |
|
26 |
26 |
$0.00 |
| 3008F |
|
2,743 |
2,723 |
$0.00 |
| 97802 |
|
3,363 |
3,328 |
$0.00 |
| 99000 |
|
1,719 |
1,677 |
$0.00 |
| 86005 |
|
117 |
113 |
$0.00 |
| 90698 |
|
23 |
16 |
$0.00 |