| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,570 |
1,459 |
$59K |
| 90461 |
|
648 |
605 |
$40K |
| 91322 |
|
217 |
184 |
$11K |
| 90480 |
|
137 |
122 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
83 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
129 |
119 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
39 |
38 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
39 |
38 |
$2K |
| 83655 |
|
112 |
106 |
$2K |
| 92551 |
|
205 |
176 |
$2K |
| 0012A |
|
44 |
44 |
$2K |
| 90686 |
|
209 |
193 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
88 |
$1K |
| 0064A |
|
77 |
63 |
$1K |
| 0011A |
|
46 |
46 |
$1K |
| 90682 |
|
34 |
31 |
$879.89 |
| 90651 |
|
138 |
130 |
$801.90 |
| 0124A |
|
22 |
22 |
$800.00 |
| 0134A |
|
27 |
24 |
$600.00 |
| 99201 |
|
15 |
15 |
$558.04 |
| 0001A |
|
12 |
12 |
$480.00 |
| 90633 |
|
210 |
208 |
$399.60 |
| 85018 |
|
168 |
167 |
$384.50 |
| 99173 |
|
203 |
175 |
$329.11 |
| 90734 |
|
81 |
77 |
$301.20 |
| 90688 |
|
12 |
12 |
$148.00 |
| 90715 |
|
60 |
56 |
$73.60 |
| 36416 |
|
43 |
38 |
$40.25 |
| 90670 |
|
51 |
50 |
$40.10 |
| 91312 |
|
20 |
20 |
$0.00 |
| 888888 |
|
72 |
71 |
$0.00 |
| 0003A |
|
14 |
14 |
$0.00 |
| 90619 |
|
76 |
60 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |