| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,678 |
3,608 |
$76K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,274 |
3,242 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
943 |
941 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
748 |
748 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
562 |
560 |
$21K |
| 90461 |
|
1,018 |
1,015 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
304 |
303 |
$12K |
| 90686 |
|
403 |
400 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
56 |
$3K |
| 99188 |
|
133 |
133 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,704 |
2,618 |
$941.40 |
| 0002A |
|
15 |
15 |
$600.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
393 |
389 |
$174.24 |
| 97802 |
|
3,213 |
3,200 |
$68.97 |
| 92551 |
|
1,923 |
1,920 |
$58.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$34.00 |
| 96127 |
|
2,789 |
2,775 |
$15.39 |
| 99051 |
|
1,719 |
1,648 |
$5.00 |
| 96160 |
|
809 |
807 |
$3.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
259 |
256 |
$0.00 |
| 91300 |
|
44 |
43 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| 99177 |
|
17 |
17 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,083 |
1,060 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,038 |
2,036 |
$0.00 |
| 3008F |
|
2,339 |
2,331 |
$0.00 |
| 99000 |
|
686 |
679 |
$0.00 |
| 99174 |
|
55 |
55 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |