| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
278 |
254 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
75 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
111 |
111 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
150 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
114 |
$0.00 |
| 90685 |
|
14 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
57 |
$0.00 |
| 99173 |
|
67 |
65 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,607 |
2,313 |
$0.00 |
| 87428 |
|
697 |
635 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
343 |
319 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,709 |
1,548 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,347 |
1,316 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
143 |
130 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,552 |
1,468 |
$0.00 |
| 90686 |
|
800 |
780 |
$0.00 |
| 85018 |
|
217 |
211 |
$0.00 |
| 92551 |
|
197 |
189 |
$0.00 |
| 99070 |
|
422 |
388 |
$0.00 |
| 36416 |
|
112 |
107 |
$0.00 |
| 99443 |
|
16 |
13 |
$0.00 |
| 86403 |
|
56 |
54 |
$0.00 |
| 96127 |
|
94 |
88 |
$0.00 |
| 87807 |
|
27 |
26 |
$0.00 |
| 0072A |
|
13 |
13 |
$0.00 |
| 91307 |
|
22 |
21 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14 |
14 |
$0.00 |
| 99174 |
|
12 |
12 |
$0.00 |