| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,481 |
2,362 |
$60K |
| 99401 |
|
815 |
750 |
$18K |
| 81025 |
|
1,089 |
1,003 |
$6K |
| 99402 |
|
112 |
104 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
156 |
149 |
$2K |
| 90734 |
|
122 |
117 |
$1K |
| 99383 |
|
15 |
14 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$715.26 |
| 90651 |
|
106 |
105 |
$519.28 |
| 90688 |
|
66 |
66 |
$465.00 |
| 90715 |
|
220 |
217 |
$359.98 |
| 92551 |
|
50 |
40 |
$344.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
17 |
$256.46 |
| 99173 |
|
38 |
38 |
$209.45 |
| 36416 |
|
101 |
93 |
$204.56 |
| 85018 |
|
77 |
69 |
$190.78 |
| 83655 |
|
24 |
24 |
$181.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$105.62 |
| 90461 |
|
471 |
455 |
$90.08 |
| 99177 |
|
19 |
15 |
$48.00 |
| 90707 |
|
19 |
15 |
$37.65 |
| 90686 |
|
1,199 |
1,133 |
$0.00 |
| 90716 |
|
18 |
14 |
$0.00 |
| 90674 |
|
440 |
437 |
$0.00 |
| 90696 |
|
17 |
17 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| 90633 |
|
48 |
43 |
$0.00 |
| 90710 |
|
32 |
31 |
$0.00 |