| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,613 |
6,480 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,349 |
20,000 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
300 |
300 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,410 |
1,381 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,181 |
2,176 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
693 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,161 |
2,129 |
$10K |
| 92552 |
|
6,466 |
6,443 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,640 |
2,611 |
$7K |
| 99173 |
|
4,434 |
4,423 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,689 |
1,683 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
75 |
74 |
$1K |
| 81003 |
|
1,083 |
1,056 |
$970.59 |
| 99381 |
|
29 |
29 |
$847.16 |
| A7016 |
Dome and mouthpiece, used with small volume ultrasonic nebulizer |
75 |
74 |
$805.20 |
| 90686 |
|
1,967 |
1,967 |
$648.00 |
| 0071A |
|
14 |
14 |
$560.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
29 |
29 |
$510.00 |
| 96127 |
|
79 |
79 |
$500.01 |
| 17110 |
|
12 |
12 |
$487.91 |
| 90670 |
|
1,294 |
1,259 |
$423.00 |
| 90651 |
|
557 |
553 |
$396.00 |
| 85018 |
|
2,552 |
2,518 |
$297.48 |
| 90715 |
|
224 |
222 |
$270.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
45 |
$247.80 |
| 90647 |
|
933 |
906 |
$234.00 |
| 90734 |
|
524 |
518 |
$225.00 |
| 90723 |
|
833 |
810 |
$217.00 |
| 90680 |
|
448 |
442 |
$117.00 |
| 90633 |
|
554 |
535 |
$99.00 |
| 99382 |
|
29 |
29 |
$94.26 |
| 94760 |
|
583 |
552 |
$36.35 |
| 90710 |
|
236 |
236 |
$36.00 |
| 90696 |
|
244 |
244 |
$36.00 |
| 90700 |
|
51 |
51 |
$27.00 |
| 90671 |
|
97 |
97 |
$27.00 |
| 90716 |
|
51 |
51 |
$27.00 |
| 90707 |
|
28 |
28 |
$18.00 |
| 90685 |
|
26 |
26 |
$0.00 |
| 90674 |
|
122 |
122 |
$0.00 |
| 99383 |
|
19 |
19 |
$0.00 |