| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J2315 |
Injection, naltrexone, depot form, 1 mg |
217 |
198 |
$227K |
| 0001A |
|
630 |
568 |
$43K |
| 0002A |
|
530 |
473 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
879 |
561 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
263 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
270 |
235 |
$4K |
| 80306 |
|
320 |
277 |
$3K |
| 90686 |
|
238 |
234 |
$2K |
| 90682 |
|
42 |
42 |
$2K |
| 0071A |
|
22 |
22 |
$2K |
| 0011A |
|
116 |
113 |
$2K |
| 0072A |
|
20 |
20 |
$2K |
| 0003A |
|
16 |
16 |
$2K |
| 0004A |
|
66 |
66 |
$1K |
| 90734 |
|
200 |
196 |
$489.25 |
| 0012A |
|
19 |
18 |
$435.44 |
| 90715 |
|
98 |
96 |
$303.06 |
| 90619 |
|
149 |
144 |
$301.94 |
| 0031A |
|
18 |
18 |
$299.43 |
| 86580 |
|
59 |
26 |
$212.80 |
| 91301 |
|
530 |
475 |
$0.17 |
| 91300 |
|
835 |
745 |
$0.00 |
| 91307 |
|
67 |
61 |
$0.00 |
| 91303 |
|
18 |
18 |
$0.00 |