| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
613 |
577 |
$25K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
185 |
172 |
$11K |
| 90461 |
|
157 |
149 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
228 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
165 |
149 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
165 |
149 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
58 |
$1K |
| 90633 |
|
169 |
161 |
$570.40 |
| 90686 |
|
98 |
93 |
$352.63 |
| 81025 |
|
203 |
181 |
$300.02 |
| 90734 |
|
45 |
44 |
$237.60 |
| 90651 |
|
37 |
37 |
$225.70 |
| 90715 |
|
31 |
31 |
$147.20 |
| 92551 |
|
12 |
12 |
$115.06 |
| 90696 |
|
13 |
13 |
$36.80 |