| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,052 |
2,007 |
$85K |
| 90461 |
|
914 |
893 |
$61K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
238 |
199 |
$9K |
| 0012A |
|
185 |
173 |
$4K |
| 0031A |
|
119 |
109 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
51 |
42 |
$2K |
| 0011A |
|
156 |
148 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
37 |
30 |
$1K |
| 90734 |
|
254 |
250 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
28 |
25 |
$1K |
| 90651 |
|
113 |
112 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$700.91 |
| 90688 |
|
182 |
179 |
$650.70 |
| 90633 |
|
424 |
413 |
$473.20 |
| 90670 |
|
232 |
228 |
$276.00 |
| 90619 |
|
16 |
13 |
$246.00 |
| 90647 |
|
163 |
157 |
$165.60 |
| 90723 |
|
93 |
90 |
$110.40 |
| 90715 |
|
47 |
47 |
$55.20 |
| 90685 |
|
20 |
20 |
$36.80 |
| 81025 |
|
15 |
12 |
$22.54 |
| 90687 |
|
16 |
16 |
$18.40 |
| 91301 |
|
250 |
243 |
$0.00 |
| 91303 |
|
30 |
30 |
$0.00 |