| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
12,591 |
886 |
$692K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
7,052 |
2,214 |
$361K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,095 |
7,562 |
$94K |
| 90651 |
|
2,370 |
2,235 |
$91K |
| 90734 |
|
1,215 |
1,161 |
$31K |
| 90686 |
|
2,171 |
2,048 |
$21K |
| 90716 |
|
762 |
725 |
$19K |
| 90715 |
|
979 |
947 |
$16K |
| 90670 |
|
402 |
396 |
$12K |
| 90713 |
|
1,004 |
951 |
$11K |
| 90633 |
|
875 |
846 |
$10K |
| 90744 |
|
916 |
858 |
$8K |
| 90707 |
|
281 |
269 |
$6K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
183 |
44 |
$6K |
| 90656 |
|
193 |
192 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,371 |
2,237 |
$3K |
| 90714 |
|
253 |
245 |
$3K |
| 90710 |
|
200 |
197 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,250 |
1,115 |
$1K |
| 90723 |
|
134 |
132 |
$1K |
| 90681 |
|
61 |
60 |
$1K |
| 90700 |
|
87 |
86 |
$792.00 |
| 90746 |
|
14 |
14 |
$600.00 |
| 90696 |
|
53 |
53 |
$451.00 |
| 90671 |
|
19 |
15 |
$301.00 |
| 90698 |
|
13 |
13 |
$143.00 |
| 90461 |
|
20 |
20 |
$33.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
78 |
78 |
$22.00 |