| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,435 |
1,536 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,331 |
1,154 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
685 |
468 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
718 |
507 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
472 |
295 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
469 |
320 |
$27K |
| 96160 |
|
1,478 |
1,100 |
$3K |
| 96127 |
|
888 |
555 |
$3K |
| 92551 |
|
399 |
247 |
$3K |
| 85018 |
|
2,712 |
1,741 |
$2K |
| 81002 |
|
2,127 |
1,281 |
$2K |
| 99173 |
|
663 |
429 |
$1K |
| 99401 |
|
56 |
38 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
128 |
75 |
$934.46 |
| 99382 |
|
31 |
18 |
$530.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
29 |
$454.44 |
| 90651 |
|
55 |
27 |
$177.70 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
42 |
32 |
$140.76 |
| 90734 |
|
24 |
12 |
$111.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$99.45 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$83.40 |
| 96161 |
|
26 |
25 |
$67.00 |
| 90686 |
|
475 |
346 |
$42.05 |
| 90688 |
|
221 |
124 |
$38.34 |
| 81003 |
|
15 |
14 |
$14.70 |
| 90677 |
|
71 |
69 |
$0.00 |
| 36416 |
|
2,222 |
1,498 |
$0.00 |
| 99000 |
|
118 |
67 |
$0.00 |
| 90656 |
|
113 |
84 |
$0.00 |
| 90674 |
|
18 |
18 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 90619 |
|
25 |
12 |
$0.00 |
| 90670 |
|
197 |
149 |
$0.00 |
| 90672 |
|
75 |
50 |
$0.00 |
| 90633 |
|
26 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90461 |
|
32 |
15 |
$0.00 |