| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,794 |
4,903 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,490 |
7,970 |
$48K |
| 90649 |
|
1,863 |
1,534 |
$10K |
| 90734 |
|
2,170 |
1,789 |
$9K |
| 0012A |
|
253 |
238 |
$9K |
| 0002A |
|
250 |
235 |
$9K |
| 0011A |
|
272 |
258 |
$8K |
| 0001A |
|
271 |
235 |
$4K |
| 90670 |
|
1,367 |
1,071 |
$4K |
| 90716 |
|
1,285 |
1,066 |
$3K |
| 0071A |
|
64 |
62 |
$2K |
| 90707 |
|
1,350 |
1,119 |
$2K |
| 90700 |
|
3,321 |
2,733 |
$2K |
| 90713 |
|
1,594 |
1,295 |
$2K |
| 0003A |
|
37 |
35 |
$1K |
| 90715 |
|
936 |
794 |
$1K |
| 90648 |
|
1,270 |
995 |
$999.68 |
| 90633 |
|
1,202 |
988 |
$839.86 |
| 90654 |
|
428 |
393 |
$646.07 |
| 0072A |
|
12 |
12 |
$480.00 |
| 0013A |
|
12 |
12 |
$440.00 |
| 90474 |
|
147 |
112 |
$422.70 |
| 90746 |
|
100 |
81 |
$41.01 |
| 91300 |
|
726 |
642 |
$0.22 |
| 1158F |
|
15 |
13 |
$0.06 |
| 91301 |
|
558 |
508 |
$0.03 |
| 3078F |
|
191 |
176 |
$0.00 |
| 1159F |
|
15 |
13 |
$0.00 |
| 99442 |
|
608 |
528 |
$0.00 |
| 90681 |
|
54 |
40 |
$0.00 |
| 3725F |
|
14 |
13 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
57 |
37 |
$0.00 |
| 1160F |
|
15 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,943 |
1,663 |
$0.00 |
| 3074F |
|
253 |
232 |
$0.00 |
| 3008F |
|
14 |
13 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |
| 3079F |
|
14 |
14 |
$0.00 |