| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,600 |
5,538 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
527 |
468 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
432 |
422 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
47 |
46 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 97802 |
|
784 |
678 |
$918.61 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$667.29 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
12 |
$496.56 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$325.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
12 |
$292.08 |
| 92551 |
|
12 |
12 |
$166.69 |
| 90686 |
|
29 |
29 |
$65.22 |
| 96127 |
|
14 |
14 |
$46.12 |
| 99000 |
|
90 |
82 |
$4.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
14 |
12 |
$0.00 |
| 3008F |
|
19 |
16 |
$0.00 |