| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90632 |
|
135 |
131 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
182 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
216 |
202 |
$4K |
| 90734 |
|
39 |
39 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
54 |
$2K |
| 90633 |
|
73 |
69 |
$1K |
| 90688 |
|
73 |
70 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
17 |
14 |
$615.79 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17 |
14 |
$615.79 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$427.32 |
| 90686 |
|
13 |
13 |
$110.40 |