| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
35,328 |
28,878 |
$3.06M |
| 90716 |
|
8,478 |
8,459 |
$536K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,643 |
17,575 |
$512K |
| H2000 |
Comprehensive multidisciplinary evaluation |
4,610 |
4,587 |
$488K |
| 90651 |
|
4,749 |
4,747 |
$478K |
| V5008 |
Hearing screening |
43,292 |
42,020 |
$403K |
| 99172 |
|
37,471 |
36,091 |
$349K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,127 |
24,940 |
$262K |
| 83655 |
|
18,515 |
18,476 |
$197K |
| D1206 |
Topical application of fluoride varnish |
7,409 |
7,387 |
$185K |
| 90632 |
|
2,985 |
2,982 |
$172K |
| 90620 |
|
2,138 |
2,134 |
$139K |
| 91320 |
|
1,641 |
1,641 |
$138K |
| 85018 |
|
65,652 |
65,494 |
$137K |
| 90715 |
|
6,809 |
6,793 |
$136K |
| 90707 |
|
4,557 |
4,542 |
$129K |
| D0190 |
|
7,360 |
7,336 |
$109K |
| 90739 |
|
1,103 |
1,100 |
$108K |
| 90636 |
|
980 |
974 |
$99K |
| 90480 |
|
2,796 |
2,795 |
$64K |
| 90686 |
|
9,257 |
9,240 |
$54K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
607 |
604 |
$53K |
| H1000 |
Prenatal care, at-risk assessment |
418 |
416 |
$37K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,037 |
987 |
$31K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,036 |
990 |
$31K |
| 90746 |
|
704 |
700 |
$31K |
| 90713 |
|
5,661 |
5,651 |
$25K |
| 90734 |
|
3,137 |
3,132 |
$25K |
| 0001A |
|
1,068 |
1,065 |
$22K |
| 0002A |
|
956 |
955 |
$22K |
| 90671 |
|
481 |
481 |
$21K |
| 90750 |
|
139 |
139 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
4,189 |
4,105 |
$16K |
| 90677 |
|
233 |
233 |
$16K |
| 0124A |
|
715 |
714 |
$15K |
| 87806 |
|
661 |
655 |
$14K |
| 86580 |
|
1,698 |
1,688 |
$9K |
| 0071A |
|
357 |
357 |
$8K |
| 90656 |
|
897 |
896 |
$7K |
| 90670 |
|
2,214 |
2,209 |
$7K |
| 90714 |
|
410 |
410 |
$6K |
| 0072A |
|
255 |
255 |
$6K |
| 0051A |
|
263 |
263 |
$5K |
| 0052A |
|
262 |
262 |
$5K |
| 81005 |
|
2,752 |
2,751 |
$5K |
| 90474 |
|
490 |
490 |
$5K |
| 0054A |
|
240 |
240 |
$5K |
| 0121A |
|
218 |
218 |
$5K |
| 0004A |
|
197 |
197 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| 0012A |
|
157 |
156 |
$4K |
| 84703 |
|
515 |
515 |
$3K |
| 0011A |
|
172 |
172 |
$3K |
| 0081A |
|
112 |
112 |
$2K |
| 86592 |
|
599 |
594 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
142 |
137 |
$2K |
| 36416 |
|
444 |
444 |
$2K |
| 90473 |
|
419 |
419 |
$1K |
| 0151A |
|
72 |
72 |
$1K |
| 0134A |
|
62 |
62 |
$1K |
| 0082A |
|
51 |
51 |
$1K |
| 0154A |
|
47 |
47 |
$1K |
| 90682 |
|
18 |
18 |
$990.00 |
| 0171A |
|
48 |
48 |
$913.98 |
| 90744 |
|
2,841 |
2,837 |
$789.00 |
| 90672 |
|
177 |
177 |
$695.00 |
| 71045 |
Radiologic examination, chest; single view |
124 |
124 |
$621.04 |
| 86481 |
|
141 |
141 |
$505.47 |
| 90660 |
|
159 |
159 |
$483.00 |
| 0111A |
|
19 |
19 |
$362.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$64.12 |
| 91319 |
|
532 |
532 |
$0.00 |
| 90680 |
|
575 |
575 |
$0.00 |
| 91318 |
|
485 |
485 |
$0.00 |
| 90698 |
|
2,090 |
2,087 |
$0.00 |
| 91305 |
|
840 |
822 |
$0.00 |
| 91301 |
|
310 |
308 |
$0.00 |
| 91307 |
|
758 |
730 |
$0.00 |
| 91315 |
|
165 |
165 |
$0.00 |
| 91317 |
|
114 |
113 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |
| 90633 |
|
5,054 |
5,047 |
$0.00 |
| 91312 |
|
1,006 |
1,005 |
$0.00 |
| 90700 |
|
2,793 |
2,786 |
$0.00 |
| 91311 |
|
38 |
38 |
$0.00 |
| 91308 |
|
244 |
235 |
$0.00 |
| 90648 |
|
121 |
120 |
$0.00 |
| 91300 |
|
2,137 |
2,019 |
$0.00 |
| 90611 |
|
79 |
79 |
$0.00 |
| 90649 |
|
770 |
765 |
$0.00 |
| 90687 |
|
230 |
229 |
$0.00 |
| 90685 |
|
462 |
461 |
$0.00 |
| 91313 |
|
62 |
62 |
$0.00 |