| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,955 |
15,636 |
$492K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,943 |
7,509 |
$328K |
| 0001A |
|
3,327 |
3,307 |
$289K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,414 |
2,330 |
$152K |
| 0031A |
|
1,317 |
1,315 |
$118K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,728 |
1,529 |
$116K |
| 0071A |
|
1,220 |
1,207 |
$109K |
| 0002A |
|
2,233 |
2,222 |
$109K |
| 0072A |
|
910 |
901 |
$81K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,863 |
1,790 |
$68K |
| 99407 |
|
3,440 |
2,919 |
$64K |
| 0052A |
|
569 |
562 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
810 |
796 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,034 |
2,019 |
$37K |
| 0051A |
|
352 |
351 |
$31K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,133 |
1,817 |
$28K |
| 0054A |
|
333 |
331 |
$27K |
| 90686 |
|
9,525 |
9,328 |
$23K |
| 90632 |
|
937 |
932 |
$18K |
| 0064A |
|
185 |
182 |
$16K |
| 90480 |
|
434 |
401 |
$15K |
| 0004A |
|
172 |
171 |
$15K |
| 82120 |
|
3,678 |
3,373 |
$13K |
| 87210 |
|
3,691 |
3,385 |
$13K |
| 0011A |
|
244 |
242 |
$12K |
| 0012A |
|
220 |
220 |
$11K |
| 87220 |
|
3,133 |
2,889 |
$9K |
| 83986 |
|
3,511 |
3,212 |
$9K |
| 90633 |
|
3,022 |
2,929 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
68 |
$6K |
| 81025 |
|
947 |
910 |
$5K |
| 0154A |
|
95 |
87 |
$4K |
| 90651 |
|
3,640 |
3,534 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,227 |
1,190 |
$3K |
| 99406 |
|
264 |
231 |
$2K |
| 0124A |
|
51 |
51 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
81 |
$2K |
| 90734 |
|
2,500 |
2,482 |
$2K |
| 90715 |
|
2,711 |
2,650 |
$1K |
| 0074A |
|
13 |
13 |
$975.32 |
| 91320 |
|
62 |
55 |
$854.43 |
| 90716 |
|
997 |
982 |
$772.31 |
| 90713 |
|
1,628 |
1,575 |
$723.16 |
| 0121A |
|
20 |
17 |
$591.42 |
| 90744 |
|
930 |
889 |
$561.32 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
22 |
13 |
$404.66 |
| 90619 |
|
1,347 |
1,301 |
$361.50 |
| 90707 |
|
557 |
544 |
$329.44 |
| 90656 |
|
318 |
315 |
$322.93 |
| 90710 |
|
929 |
901 |
$294.36 |
| 90674 |
|
213 |
187 |
$245.45 |
| 90620 |
|
714 |
693 |
$194.83 |
| 90670 |
|
631 |
437 |
$194.17 |
| 91319 |
|
62 |
54 |
$175.68 |
| 83655 |
|
16 |
15 |
$141.60 |
| 90685 |
|
119 |
115 |
$100.00 |
| 90700 |
|
565 |
552 |
$86.22 |
| 90696 |
|
356 |
349 |
$70.94 |
| 91300 |
|
5,790 |
5,194 |
$54.99 |
| 90714 |
|
161 |
160 |
$35.44 |
| 91307 |
|
2,214 |
1,989 |
$21.48 |
| 91305 |
|
1,293 |
1,222 |
$12.55 |
| 91303 |
|
1,333 |
1,331 |
$12.45 |
| 90723 |
|
57 |
54 |
$10.16 |
| 91301 |
|
503 |
498 |
$4.52 |
| 91306 |
|
185 |
182 |
$1.74 |
| 91315 |
|
94 |
87 |
$0.93 |
| 91312 |
|
70 |
68 |
$0.67 |
| 90611 |
|
14 |
14 |
$0.14 |
| 91309 |
|
12 |
12 |
$0.10 |
| 90680 |
|
27 |
27 |
$0.01 |
| 91321 |
|
33 |
33 |
$0.00 |
| 90648 |
|
86 |
83 |
$0.00 |
| 91322 |
|
17 |
17 |
$0.00 |