| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
615 |
609 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
98 |
98 |
$3K |
| 0071A |
|
47 |
42 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
40 |
$2K |
| 90461 |
|
152 |
151 |
$703.94 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$468.00 |
| 90619 |
|
29 |
29 |
$380.44 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
66 |
$312.28 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$252.98 |
| 90661 |
|
142 |
142 |
$141.66 |
| 91307 |
|
47 |
42 |
$0.46 |
| 90620 |
|
26 |
26 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |
| 90686 |
|
56 |
54 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 99080 |
|
502 |
195 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90671 |
|
19 |
19 |
$0.00 |
| 90633 |
|
21 |
21 |
$0.00 |