| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,537 |
1,397 |
$62K |
| 99401 |
|
1,376 |
1,209 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,378 |
1,209 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
757 |
637 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
219 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
174 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
259 |
$10K |
| 99402 |
|
208 |
183 |
$10K |
| 81025 |
|
2,091 |
1,828 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
916 |
844 |
$8K |
| 99381 |
|
88 |
82 |
$7K |
| 90651 |
|
175 |
156 |
$6K |
| D1206 |
Topical application of fluoride varnish |
335 |
335 |
$6K |
| 83655 |
|
397 |
347 |
$4K |
| D0190 |
|
317 |
317 |
$3K |
| 99383 |
|
38 |
27 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,493 |
1,316 |
$2K |
| 92551 |
|
295 |
250 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
30 |
$2K |
| 85018 |
|
743 |
649 |
$2K |
| 36416 |
|
755 |
660 |
$1K |
| 90734 |
|
150 |
140 |
$971.19 |
| 99177 |
|
162 |
130 |
$963.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
66 |
$766.40 |
| 90688 |
|
318 |
301 |
$730.00 |
| 96127 |
|
194 |
170 |
$725.29 |
| 90715 |
|
246 |
235 |
$433.23 |
| 99173 |
|
125 |
114 |
$322.89 |
| 90707 |
|
100 |
81 |
$37.65 |
| 90686 |
|
175 |
160 |
$0.00 |
| 90716 |
|
108 |
92 |
$0.00 |
| 99000 |
|
43 |
35 |
$0.00 |
| 90696 |
|
29 |
21 |
$0.00 |
| 90647 |
|
17 |
12 |
$0.00 |
| 90461 |
|
742 |
673 |
$0.00 |
| 90633 |
|
121 |
104 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90670 |
|
37 |
27 |
$0.00 |