| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
88 |
86 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
54 |
$983.53 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$305.95 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
38 |
$118.58 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$116.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
29 |
$54.63 |