| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,502 |
11,000 |
$381K |
| 90670 |
|
3,521 |
3,425 |
$34K |
| 90651 |
|
1,663 |
1,634 |
$30K |
| 90710 |
|
1,186 |
1,175 |
$21K |
| 90734 |
|
1,442 |
1,425 |
$12K |
| 90633 |
|
2,715 |
2,637 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
409 |
391 |
$6K |
| 90715 |
|
1,284 |
1,270 |
$6K |
| 0064A |
|
70 |
68 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
631 |
563 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
84 |
77 |
$5K |
| 90716 |
|
913 |
881 |
$5K |
| 90686 |
|
2,593 |
2,539 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
223 |
$5K |
| 90620 |
|
454 |
444 |
$4K |
| 90723 |
|
3,018 |
2,946 |
$4K |
| 90707 |
|
870 |
841 |
$3K |
| 90647 |
|
2,928 |
2,848 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
180 |
131 |
$2K |
| 0071A |
|
23 |
23 |
$2K |
| 0072A |
|
18 |
17 |
$2K |
| 0001A |
|
14 |
13 |
$1K |
| 0003A |
|
12 |
12 |
$1K |
| 90696 |
|
769 |
759 |
$1K |
| 80305 |
|
182 |
131 |
$1K |
| 0124A |
|
28 |
27 |
$888.78 |
| 90677 |
|
47 |
47 |
$346.69 |
| 90700 |
|
895 |
869 |
$295.79 |
| 90681 |
|
1,142 |
1,124 |
$274.00 |
| 83655 |
|
55 |
54 |
$154.36 |
| 36416 |
|
91 |
90 |
$101.64 |
| 90619 |
|
324 |
314 |
$91.82 |
| 90461 |
|
7,060 |
6,873 |
$40.00 |
| 90671 |
|
151 |
146 |
$0.98 |
| 90674 |
|
71 |
71 |
$0.38 |
| 91300 |
|
75 |
66 |
$0.28 |
| 91307 |
|
70 |
61 |
$0.18 |
| 91306 |
|
73 |
63 |
$0.15 |
| 91305 |
|
42 |
39 |
$0.12 |
| 90661 |
|
18 |
14 |
$0.06 |
| 91312 |
|
28 |
26 |
$0.05 |
| 90713 |
|
24 |
24 |
$0.00 |
| 90685 |
|
14 |
14 |
$0.00 |