| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,425 |
9,245 |
$94K |
| H1000 |
Prenatal care, at-risk assessment |
892 |
871 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,814 |
1,706 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,652 |
1,471 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,189 |
1,145 |
$19K |
| 81025 |
|
1,259 |
1,114 |
$9K |
| 92551 |
|
964 |
930 |
$5K |
| 90686 |
|
5,606 |
5,539 |
$999.78 |
| 90715 |
|
271 |
265 |
$858.05 |
| 90651 |
|
225 |
220 |
$735.13 |
| 90619 |
|
565 |
549 |
$438.85 |
| 90734 |
|
250 |
245 |
$116.30 |
| 90656 |
|
464 |
449 |
$44.70 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
28 |
26 |
$39.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90688 |
|
63 |
62 |
$0.00 |
| 90620 |
|
20 |
19 |
$0.00 |