| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
3,384 |
2,997 |
$154K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,680 |
14,051 |
$130K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,639 |
7,993 |
$101K |
| 0002A |
|
2,298 |
2,061 |
$76K |
| 0001A |
|
2,503 |
2,179 |
$63K |
| 0003A |
|
947 |
946 |
$36K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
341 |
286 |
$33K |
| 90651 |
|
3,826 |
3,225 |
$23K |
| 0072A |
|
375 |
375 |
$15K |
| 90670 |
|
2,534 |
2,363 |
$15K |
| 0071A |
|
399 |
398 |
$15K |
| 90734 |
|
3,027 |
2,495 |
$11K |
| 90620 |
|
1,936 |
1,599 |
$11K |
| 76830 |
Ultrasound, transvaginal |
310 |
169 |
$10K |
| 90716 |
|
2,407 |
2,029 |
$9K |
| 72100 |
|
633 |
459 |
$9K |
| 90715 |
|
2,105 |
1,737 |
$8K |
| 90697 |
|
345 |
219 |
$8K |
| 90686 |
|
642 |
455 |
$7K |
| 90473 |
|
1,078 |
866 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
319 |
206 |
$7K |
| 90707 |
|
2,159 |
1,810 |
$5K |
| 73560 |
|
579 |
293 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
387 |
290 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
519 |
356 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
133 |
71 |
$3K |
| 90698 |
|
1,443 |
1,269 |
$3K |
| 0124A |
|
99 |
73 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
45 |
38 |
$3K |
| 0004A |
|
59 |
59 |
$2K |
| 90474 |
|
458 |
420 |
$2K |
| 90633 |
|
2,305 |
1,881 |
$2K |
| 72040 |
|
154 |
114 |
$2K |
| 90677 |
|
971 |
555 |
$1K |
| 74018 |
|
208 |
141 |
$1K |
| 90696 |
|
657 |
559 |
$1K |
| 90756 |
|
52 |
48 |
$1K |
| 90648 |
|
835 |
709 |
$898.30 |
| 90688 |
|
307 |
296 |
$751.19 |
| 90700 |
|
732 |
586 |
$699.50 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
13 |
$581.96 |
| 90621 |
|
254 |
235 |
$531.00 |
| 76536 |
|
30 |
12 |
$332.82 |
| 90658 |
|
2,949 |
2,860 |
$177.26 |
| 90744 |
|
817 |
782 |
$1.12 |
| 90681 |
|
418 |
282 |
$0.44 |
| 90723 |
|
229 |
205 |
$0.24 |
| 90680 |
|
131 |
126 |
$0.18 |
| 90714 |
|
40 |
37 |
$0.01 |
| 90647 |
|
187 |
167 |
$0.01 |
| 90713 |
|
157 |
143 |
$0.00 |
| 90655 |
|
12 |
12 |
$0.00 |
| 91312 |
|
63 |
50 |
$0.00 |
| 93000 |
|
30 |
27 |
$0.00 |