| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,923 |
12,533 |
$222K |
| 90716 |
|
3,311 |
3,160 |
$198K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,802 |
4,808 |
$179K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,372 |
8,179 |
$162K |
| 90651 |
|
4,387 |
4,294 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,911 |
1,759 |
$75K |
| 90632 |
|
1,102 |
1,054 |
$61K |
| 90739 |
|
448 |
432 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
649 |
630 |
$40K |
| 90707 |
|
1,237 |
1,207 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
657 |
615 |
$32K |
| 90715 |
|
3,859 |
3,752 |
$31K |
| 91320 |
|
219 |
197 |
$16K |
| 90686 |
|
3,377 |
3,224 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
412 |
405 |
$15K |
| 90480 |
|
436 |
394 |
$15K |
| 86580 |
|
1,825 |
1,529 |
$10K |
| 86592 |
|
2,709 |
2,663 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
4,291 |
4,104 |
$9K |
| 87205 |
|
2,421 |
2,378 |
$8K |
| 87210 |
|
1,839 |
1,808 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
197 |
$5K |
| 0001A |
|
53 |
53 |
$5K |
| 90734 |
|
2,662 |
2,641 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
313 |
302 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
43 |
$3K |
| 90677 |
|
149 |
148 |
$3K |
| 90682 |
|
48 |
48 |
$3K |
| 90746 |
|
43 |
43 |
$3K |
| 90619 |
|
1,181 |
1,135 |
$2K |
| 90713 |
|
2,302 |
2,219 |
$2K |
| 0002A |
|
44 |
44 |
$2K |
| 90710 |
|
1,580 |
1,562 |
$1K |
| 90670 |
|
1,789 |
1,741 |
$1K |
| 90714 |
|
78 |
73 |
$1K |
| 90656 |
|
212 |
208 |
$807.51 |
| 86593 |
|
268 |
260 |
$536.40 |
| 90672 |
|
239 |
238 |
$251.98 |
| 90620 |
|
15 |
14 |
$179.76 |
| 90633 |
|
4,249 |
4,144 |
$0.10 |
| 91319 |
|
70 |
63 |
$0.09 |
| 91318 |
|
58 |
47 |
$0.04 |
| 90671 |
|
273 |
243 |
$0.04 |
| 91311 |
|
15 |
12 |
$0.02 |
| 90698 |
|
1,333 |
1,294 |
$0.01 |
| 90680 |
|
381 |
357 |
$0.01 |
| 90696 |
|
755 |
750 |
$0.00 |
| 90744 |
|
1,342 |
1,297 |
$0.00 |
| 90697 |
|
266 |
257 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| 86704 |
|
12 |
12 |
$0.00 |
| 86481 |
|
12 |
12 |
$0.00 |
| 90700 |
|
303 |
299 |
$0.00 |
| 91300 |
|
123 |
114 |
$0.00 |
| 90685 |
|
270 |
262 |
$0.00 |
| 90611 |
|
12 |
12 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |