| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
6,777 |
5,660 |
$519K |
| 99172 |
|
8,923 |
8,753 |
$82K |
| V5008 |
Hearing screening |
8,598 |
8,484 |
$79K |
| H2000 |
Comprehensive multidisciplinary evaluation |
470 |
464 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,641 |
1,623 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
718 |
715 |
$16K |
| 85018 |
|
6,569 |
6,544 |
$14K |
| 90632 |
|
139 |
139 |
$6K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
57 |
57 |
$5K |
| 91322 |
|
38 |
38 |
$4K |
| 90480 |
|
153 |
153 |
$3K |
| 90716 |
|
29 |
29 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
27 |
27 |
$2K |
| 90686 |
|
172 |
172 |
$2K |
| 36416 |
|
198 |
198 |
$1K |
| 90715 |
|
76 |
76 |
$1K |
| 90707 |
|
21 |
21 |
$1K |
| 90674 |
|
75 |
75 |
$1K |
| 90651 |
|
13 |
13 |
$917.36 |
| 0124A |
|
36 |
36 |
$812.41 |
| 86580 |
|
146 |
145 |
$658.54 |
| 90746 |
|
13 |
13 |
$649.00 |
| 90713 |
|
36 |
36 |
$627.36 |
| 90656 |
|
39 |
39 |
$268.20 |
| 91312 |
|
34 |
34 |
$0.00 |
| 91321 |
|
14 |
14 |
$0.00 |