| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
187 |
181 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
170 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
287 |
253 |
$3K |
| 96127 |
|
240 |
240 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
52 |
50 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
992 |
899 |
$3K |
| 99177 |
|
294 |
294 |
$1K |
| 92587 |
|
30 |
30 |
$490.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
559 |
300 |
$184.05 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
108 |
$90.89 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
43 |
$70.68 |
| 90686 |
|
41 |
40 |
$20.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$0.00 |
| 90661 |
|
55 |
54 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$0.00 |