| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,595 |
1,565 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,799 |
1,786 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
341 |
341 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
339 |
339 |
$12K |
| 90461 |
|
559 |
556 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
121 |
121 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
137 |
135 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,731 |
$1K |
| 99188 |
|
53 |
53 |
$735.00 |
| 90686 |
|
29 |
29 |
$536.94 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
442 |
428 |
$367.25 |
| 96127 |
|
1,375 |
1,369 |
$214.96 |
| 97802 |
|
1,854 |
1,846 |
$90.00 |
| 92551 |
|
941 |
941 |
$43.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
244 |
244 |
$36.00 |
| 96160 |
|
178 |
178 |
$11.39 |
| 3008F |
|
1,352 |
1,352 |
$0.00 |
| 99000 |
|
621 |
615 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,039 |
1,039 |
$0.00 |
| 99051 |
|
1,015 |
976 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
36 |
$0.00 |