| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,699 |
2,617 |
$108K |
| 90461 |
|
1,131 |
1,108 |
$69K |
| 0011A |
|
322 |
316 |
$8K |
| 90686 |
|
1,075 |
1,051 |
$8K |
| 0012A |
|
278 |
269 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
343 |
321 |
$7K |
| 90651 |
|
494 |
483 |
$6K |
| 90633 |
|
631 |
613 |
$6K |
| 0001A |
|
131 |
129 |
$5K |
| 0002A |
|
111 |
106 |
$4K |
| 90632 |
|
62 |
59 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
86 |
$3K |
| 90734 |
|
390 |
375 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
38 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
38 |
$2K |
| 0064A |
|
83 |
71 |
$2K |
| 90715 |
|
192 |
183 |
$1K |
| 90670 |
|
169 |
166 |
$570.40 |
| 0071A |
|
16 |
14 |
$560.00 |
| 99201 |
|
15 |
15 |
$558.04 |
| 90619 |
|
58 |
57 |
$492.00 |
| 90723 |
|
64 |
64 |
$441.60 |
| 90647 |
|
66 |
66 |
$423.20 |
| 90621 |
|
81 |
80 |
$316.55 |
| 90680 |
|
13 |
13 |
$18.40 |
| 91301 |
|
98 |
97 |
$0.00 |