| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,448 |
2,344 |
$73K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,599 |
2,519 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,218 |
1,187 |
$44K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
744 |
727 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
958 |
933 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
898 |
867 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,178 |
1,110 |
$17K |
| 90461 |
|
932 |
893 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
487 |
428 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
443 |
386 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,714 |
3,477 |
$8K |
| 90686 |
|
1,047 |
921 |
$4K |
| 90651 |
|
71 |
60 |
$3K |
| 90620 |
|
42 |
42 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,341 |
1,264 |
$3K |
| 92551 |
|
2,631 |
2,563 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
48 |
48 |
$2K |
| 90734 |
|
30 |
30 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,669 |
2,631 |
$1K |
| 90674 |
|
127 |
127 |
$1K |
| 36416 |
|
145 |
127 |
$990.00 |
| 99188 |
|
44 |
43 |
$645.00 |
| 96127 |
|
2,738 |
2,600 |
$495.98 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$461.80 |
| 90670 |
|
72 |
40 |
$453.86 |
| 90656 |
|
120 |
120 |
$377.77 |
| 96160 |
|
1,346 |
1,306 |
$198.36 |
| 81002 |
|
282 |
260 |
$159.26 |
| 90633 |
|
76 |
65 |
$73.84 |
| 90677 |
|
38 |
26 |
$25.00 |
| 99177 |
|
12 |
12 |
$9.35 |
| 99051 |
|
280 |
276 |
$0.00 |
| 90661 |
|
72 |
72 |
$0.00 |
| 86005 |
|
415 |
398 |
$0.00 |
| 97802 |
|
3,842 |
3,736 |
$0.00 |
| 3008F |
|
2,267 |
2,190 |
$0.00 |
| 99000 |
|
1,630 |
1,542 |
$0.00 |