| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,105 |
2,731 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,543 |
2,286 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,257 |
1,144 |
$82K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,301 |
1,079 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
190 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
233 |
198 |
$14K |
| 96160 |
|
1,504 |
832 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
28 |
$2K |
| 81002 |
|
846 |
749 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
73 |
$2K |
| 3008F |
|
575 |
506 |
$2K |
| 99173 |
|
275 |
247 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
125 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$1K |
| 96161 |
|
59 |
43 |
$725.26 |
| 90671 |
|
18 |
13 |
$526.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
12 |
$493.86 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$353.30 |
| 90688 |
|
373 |
361 |
$302.78 |
| 92551 |
|
20 |
15 |
$144.06 |
| 99072 |
|
776 |
717 |
$0.00 |
| 90687 |
|
25 |
25 |
$0.00 |
| 90670 |
|
76 |
64 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |
| 90686 |
|
123 |
104 |
$0.00 |
| 90698 |
|
47 |
37 |
$0.00 |
| 90680 |
|
21 |
18 |
$0.00 |
| 99000 |
|
119 |
112 |
$0.00 |
| 90651 |
|
17 |
14 |
$0.00 |
| 90744 |
|
21 |
13 |
$0.00 |