| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,996 |
2,808 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
434 |
390 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
335 |
317 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,070 |
985 |
$11K |
| 99401 |
|
213 |
186 |
$6K |
| D1206 |
Topical application of fluoride varnish |
317 |
316 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
218 |
189 |
$3K |
| D0190 |
|
317 |
316 |
$3K |
| 0001A |
|
78 |
60 |
$2K |
| 90651 |
|
308 |
294 |
$2K |
| 90734 |
|
194 |
185 |
$2K |
| 0002A |
|
38 |
31 |
$1K |
| 85018 |
|
504 |
437 |
$1K |
| 36416 |
|
510 |
444 |
$956.55 |
| 0011A |
|
25 |
19 |
$712.20 |
| 90715 |
|
291 |
273 |
$675.02 |
| 90688 |
|
41 |
40 |
$490.00 |
| 92551 |
|
70 |
57 |
$478.21 |
| 90671 |
|
59 |
56 |
$404.06 |
| 90619 |
|
112 |
96 |
$388.29 |
| 90707 |
|
200 |
178 |
$384.18 |
| 81025 |
|
65 |
49 |
$317.69 |
| 99173 |
|
109 |
87 |
$279.33 |
| 90686 |
|
475 |
466 |
$240.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
28 |
$236.52 |
| 90716 |
|
171 |
152 |
$230.34 |
| 90461 |
|
1,848 |
1,725 |
$90.08 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
27 |
$74.34 |
| 96127 |
|
12 |
12 |
$50.33 |
| 90633 |
|
165 |
154 |
$29.63 |
| 90670 |
|
605 |
562 |
$0.00 |
| 90681 |
|
89 |
84 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90696 |
|
47 |
40 |
$0.00 |
| 90723 |
|
286 |
270 |
$0.00 |
| 90647 |
|
324 |
303 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90697 |
|
27 |
27 |
$0.00 |