| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
954 |
824 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
893 |
745 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
593 |
492 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
764 |
690 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
79 |
76 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
54 |
$4K |
| 99177 |
|
229 |
209 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
13 |
$579.32 |
| 90461 |
|
559 |
486 |
$382.85 |
| 90670 |
|
232 |
215 |
$258.02 |
| 90723 |
|
135 |
126 |
$70.74 |
| 99173 |
|
14 |
12 |
$54.01 |
| 90680 |
|
73 |
68 |
$44.49 |
| 90648 |
|
220 |
204 |
$15.85 |
| 90656 |
|
39 |
35 |
$0.04 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90674 |
|
24 |
24 |
$0.00 |
| 90686 |
|
17 |
16 |
$0.00 |