| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,819 |
1,774 |
$46K |
| 99401 |
|
1,835 |
1,709 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
842 |
782 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
815 |
768 |
$11K |
| 81025 |
|
1,668 |
1,551 |
$8K |
| 99384 |
|
32 |
32 |
$3K |
| 90734 |
|
135 |
134 |
$2K |
| 90651 |
|
187 |
183 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
20 |
$1K |
| 92551 |
|
170 |
163 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 99177 |
|
161 |
156 |
$767.53 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
13 |
$571.02 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
24 |
24 |
$384.57 |
| 90715 |
|
245 |
242 |
$374.74 |
| 90688 |
|
43 |
42 |
$345.00 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
92 |
$252.72 |
| 85018 |
|
105 |
94 |
$247.36 |
| 36416 |
|
58 |
51 |
$97.15 |
| 90707 |
|
15 |
13 |
$75.30 |
| 90716 |
|
15 |
13 |
$65.33 |
| 87210 |
|
12 |
12 |
$30.78 |
| 90461 |
|
438 |
430 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90686 |
|
827 |
806 |
$0.00 |
| 90674 |
|
246 |
242 |
$0.00 |