| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
854 |
806 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,064 |
975 |
$16K |
| 99401 |
|
208 |
186 |
$6K |
| D1206 |
Topical application of fluoride varnish |
246 |
246 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
143 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
51 |
$4K |
| D0190 |
|
246 |
246 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
57 |
$2K |
| 0001A |
|
63 |
46 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
211 |
200 |
$1K |
| 0002A |
|
29 |
27 |
$1K |
| 81025 |
|
214 |
195 |
$1K |
| 0011A |
|
27 |
19 |
$781.08 |
| 36415 |
Collection of venous blood by venipuncture |
326 |
289 |
$567.96 |
| 90651 |
|
45 |
42 |
$547.40 |
| 92551 |
|
28 |
28 |
$218.96 |
| 90715 |
|
114 |
110 |
$150.44 |
| 90734 |
|
31 |
27 |
$107.91 |
| 96127 |
|
27 |
27 |
$104.76 |
| 85018 |
|
54 |
51 |
$80.60 |
| 99173 |
|
15 |
15 |
$27.30 |
| 36416 |
|
69 |
65 |
$1.46 |
| 90619 |
|
25 |
24 |
$0.00 |
| 90686 |
|
50 |
50 |
$0.00 |
| 90647 |
|
14 |
13 |
$0.00 |
| 90461 |
|
489 |
461 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |