| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,084 |
8,280 |
$280K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,440 |
3,733 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,696 |
1,605 |
$108K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
992 |
937 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
987 |
915 |
$47K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
406 |
351 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,158 |
1,043 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
335 |
310 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
482 |
449 |
$6K |
| 90686 |
|
2,198 |
2,145 |
$5K |
| 81000 |
|
2,476 |
1,977 |
$5K |
| 90671 |
|
339 |
299 |
$5K |
| 85018 |
|
2,280 |
2,156 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$3K |
| 90716 |
|
613 |
584 |
$3K |
| 90651 |
|
941 |
923 |
$3K |
| 90715 |
|
924 |
886 |
$2K |
| 90670 |
|
1,952 |
1,891 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
25 |
$2K |
| 90707 |
|
417 |
393 |
$1K |
| 90480 |
|
31 |
26 |
$1K |
| 90656 |
|
144 |
143 |
$553.81 |
| 90677 |
|
67 |
65 |
$545.04 |
| 92552 |
|
250 |
245 |
$490.69 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
119 |
$444.35 |
| 91320 |
|
20 |
12 |
$395.13 |
| 90734 |
|
840 |
816 |
$327.88 |
| 90633 |
|
1,757 |
1,701 |
$201.45 |
| 87590 |
|
14 |
13 |
$144.00 |
| 99173 |
|
325 |
315 |
$137.40 |
| 90680 |
|
1,202 |
1,144 |
$30.00 |
| 90744 |
|
732 |
715 |
$20.00 |
| 90698 |
|
1,128 |
1,107 |
$20.00 |
| 90648 |
|
194 |
188 |
$10.00 |
| 90700 |
|
237 |
228 |
$10.00 |
| 90710 |
|
302 |
295 |
$0.00 |
| 90713 |
|
176 |
166 |
$0.00 |
| 90685 |
|
101 |
100 |
$0.00 |
| 90696 |
|
152 |
150 |
$0.00 |
| 90619 |
|
451 |
438 |
$0.00 |
| 90697 |
|
446 |
408 |
$0.00 |
| 90620 |
|
15 |
15 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |