| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,682 |
4,593 |
$194K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,620 |
6,394 |
$121K |
| 90473 |
|
360 |
348 |
$7K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
958 |
704 |
$5K |
| T1001 |
Nursing assessment / evaluation |
171 |
157 |
$5K |
| 90716 |
|
751 |
741 |
$3K |
| 90651 |
|
1,192 |
1,177 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
160 |
157 |
$2K |
| 91320 |
|
31 |
31 |
$2K |
| 0124A |
|
50 |
50 |
$2K |
| 90670 |
|
1,263 |
1,248 |
$2K |
| 86580 |
|
280 |
261 |
$2K |
| 90480 |
|
98 |
98 |
$1K |
| 90707 |
|
728 |
718 |
$1K |
| 90620 |
|
332 |
327 |
$1K |
| 90688 |
|
102 |
100 |
$1K |
| 90686 |
|
1,965 |
1,929 |
$1K |
| 90715 |
|
757 |
746 |
$651.24 |
| 90734 |
|
934 |
916 |
$487.68 |
| 90633 |
|
1,011 |
1,003 |
$7.00 |
| 90677 |
|
57 |
55 |
$6.30 |
| 90744 |
|
649 |
643 |
$5.00 |
| 90698 |
|
1,288 |
1,270 |
$0.12 |
| 90681 |
|
220 |
215 |
$0.06 |
| 90696 |
|
369 |
363 |
$0.01 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
93 |
93 |
$0.00 |
| 91305 |
|
65 |
65 |
$0.00 |
| 90619 |
|
377 |
375 |
$0.00 |
| 90680 |
|
106 |
101 |
$0.00 |
| 91312 |
|
63 |
63 |
$0.00 |
| 90710 |
|
183 |
183 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
94 |
94 |
$0.00 |
| 87210 |
|
13 |
13 |
$0.00 |
| 90671 |
|
54 |
54 |
$0.00 |