| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,797 |
21,345 |
$921K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,358 |
9,409 |
$738K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,273 |
8,892 |
$588K |
| 99381 |
|
4,670 |
4,404 |
$359K |
| 99401 |
|
9,788 |
8,582 |
$277K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25,324 |
23,555 |
$269K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,212 |
1,856 |
$158K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
481 |
378 |
$157K |
| 99402 |
|
2,927 |
2,568 |
$144K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,235 |
7,290 |
$126K |
| 90651 |
|
4,736 |
4,372 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,374 |
2,464 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,531 |
1,435 |
$112K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,224 |
1,106 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,515 |
2,163 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,490 |
1,313 |
$63K |
| 99383 |
|
541 |
502 |
$47K |
| 99384 |
|
482 |
432 |
$46K |
| 81025 |
|
8,679 |
7,330 |
$45K |
| 92551 |
|
5,623 |
5,064 |
$40K |
| 99382 |
|
450 |
379 |
$38K |
| 94250 |
|
1,685 |
1,294 |
$30K |
| 90734 |
|
3,607 |
3,436 |
$27K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
896 |
750 |
$26K |
| 90632 |
|
574 |
472 |
$26K |
| 85018 |
|
9,385 |
8,321 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
383 |
298 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,333 |
2,843 |
$22K |
| 90715 |
|
3,533 |
3,328 |
$21K |
| 90716 |
|
4,981 |
4,500 |
$21K |
| 99177 |
|
2,986 |
2,751 |
$21K |
| 36416 |
|
10,152 |
9,022 |
$19K |
| 11981 |
|
212 |
169 |
$19K |
| 96127 |
|
4,663 |
4,155 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
389 |
343 |
$17K |
| 11982 |
|
162 |
131 |
$17K |
| 90746 |
|
373 |
297 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
6,651 |
5,619 |
$12K |
| 99173 |
|
4,046 |
3,617 |
$11K |
| 90688 |
|
1,540 |
1,345 |
$11K |
| 87210 |
|
2,639 |
2,196 |
$9K |
| 90670 |
|
6,343 |
5,774 |
$9K |
| 90707 |
|
4,857 |
4,377 |
$7K |
| 99407 |
|
316 |
266 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
256 |
221 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
784 |
622 |
$4K |
| 99071 |
|
1,172 |
909 |
$3K |
| 96160 |
|
328 |
273 |
$3K |
| 99385 |
|
35 |
26 |
$3K |
| 90686 |
|
7,138 |
6,826 |
$2K |
| 90696 |
|
2,508 |
2,313 |
$2K |
| 90633 |
|
5,106 |
4,603 |
$1K |
| 90723 |
|
4,448 |
4,146 |
$571.84 |
| 90681 |
|
2,337 |
2,221 |
$549.90 |
| 90647 |
|
5,125 |
4,676 |
$410.04 |
| 90700 |
|
2,188 |
1,978 |
$201.42 |
| 90713 |
|
71 |
69 |
$29.71 |
| 90461 |
|
12,653 |
11,749 |
$0.00 |
| 99070 |
|
123 |
84 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
50 |
38 |
$0.00 |
| 90744 |
|
32 |
28 |
$0.00 |
| 99000 |
|
222 |
186 |
$0.00 |