| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99172 |
|
11,894 |
11,278 |
$104K |
| V5008 |
Hearing screening |
11,173 |
11,167 |
$97K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,621 |
5,579 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,970 |
7,884 |
$53K |
| 90632 |
|
1,328 |
1,315 |
$47K |
| 83655 |
|
2,539 |
2,528 |
$26K |
| 36416 |
|
2,387 |
2,377 |
$14K |
| 90651 |
|
1,234 |
1,227 |
$8K |
| 90707 |
|
807 |
801 |
$8K |
| 90716 |
|
764 |
760 |
$8K |
| 90480 |
|
188 |
186 |
$7K |
| 90715 |
|
1,368 |
1,359 |
$6K |
| 90688 |
|
548 |
548 |
$5K |
| 91320 |
|
55 |
55 |
$4K |
| 90686 |
|
1,450 |
1,439 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
316 |
314 |
$4K |
| 90746 |
|
218 |
216 |
$3K |
| 86580 |
|
450 |
443 |
$2K |
| 90734 |
|
830 |
827 |
$1K |
| 91322 |
|
13 |
13 |
$875.52 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$638.37 |
| 92551 |
|
64 |
64 |
$444.26 |
| 90620 |
|
68 |
67 |
$360.40 |
| 81002 |
|
123 |
122 |
$311.04 |
| 81025 |
|
44 |
44 |
$299.46 |
| 90619 |
|
434 |
434 |
$155.00 |
| 90713 |
|
403 |
403 |
$58.18 |
| 99177 |
|
17 |
17 |
$50.66 |
| 90656 |
|
14 |
14 |
$38.50 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
21 |
21 |
$28.50 |
| 90647 |
|
507 |
502 |
$0.00 |
| 90698 |
|
296 |
294 |
$0.00 |
| 90696 |
|
404 |
402 |
$0.00 |
| 90723 |
|
408 |
404 |
$0.00 |
| 90744 |
|
168 |
166 |
$0.00 |
| 90697 |
|
80 |
80 |
$0.00 |
| 90680 |
|
114 |
114 |
$0.00 |
| 90733 |
|
16 |
16 |
$0.00 |
| 90633 |
|
1,499 |
1,496 |
$0.00 |
| 90671 |
|
118 |
118 |
$0.00 |
| 90710 |
|
678 |
676 |
$0.00 |
| 90670 |
|
1,041 |
1,035 |
$0.00 |
| 99173 |
|
85 |
84 |
$0.00 |
| 90685 |
|
288 |
288 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 90700 |
|
701 |
697 |
$0.00 |