| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
591 |
588 |
$22K |
| 90632 |
|
153 |
153 |
$9K |
| 90461 |
|
95 |
95 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
74 |
74 |
$5K |
| 0001A |
|
93 |
92 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
164 |
163 |
$3K |
| D1206 |
Topical application of fluoride varnish |
131 |
123 |
$2K |
| 0002A |
|
63 |
63 |
$2K |
| 0031A |
|
50 |
47 |
$2K |
| 90651 |
|
125 |
125 |
$718.80 |
| 90633 |
|
313 |
313 |
$533.60 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
17 |
14 |
$430.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
15 |
$361.53 |
| 90734 |
|
76 |
76 |
$282.80 |
| 86803 |
|
14 |
13 |
$233.04 |
| 90686 |
|
18 |
18 |
$221.81 |
| 90682 |
|
16 |
14 |
$93.55 |
| 90715 |
|
14 |
14 |
$36.80 |