| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
1,503 |
1,493 |
$75K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,491 |
1,478 |
$59K |
| 99462 |
|
1,235 |
978 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
118 |
118 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$2K |
| 92551 |
|
110 |
110 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$961.52 |
| 90688 |
|
64 |
64 |
$567.00 |
| 90670 |
|
57 |
57 |
$513.00 |
| 90648 |
|
50 |
50 |
$450.00 |
| 90710 |
|
50 |
50 |
$450.00 |
| 90685 |
|
47 |
47 |
$423.00 |
| 85018 |
|
202 |
202 |
$414.10 |
| 90633 |
|
44 |
44 |
$396.00 |
| 90734 |
|
33 |
33 |
$297.00 |
| 90723 |
|
29 |
29 |
$261.00 |
| 90651 |
|
19 |
19 |
$171.00 |
| 90715 |
|
13 |
13 |
$117.00 |
| 90700 |
|
13 |
13 |
$117.00 |
| 92081 |
|
86 |
86 |
$10.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
65 |
$8.84 |
| 3074F |
|
106 |
106 |
$0.00 |
| 3008F |
|
135 |
135 |
$0.00 |
| 1160F |
|
42 |
42 |
$0.00 |
| 81002 |
|
80 |
80 |
$0.00 |
| 3078F |
|
107 |
107 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
456 |
205 |
$0.00 |
| 1159F |
|
44 |
44 |
$0.00 |