| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
161 |
160 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
48 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$584.88 |
| 92552 |
|
12 |
12 |
$483.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$249.60 |
| 96160 |
|
76 |
66 |
$245.31 |
| 99051 |
|
12 |
12 |
$14.00 |