| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,446 |
2,424 |
$49K |
| V5008 |
Hearing screening |
3,843 |
3,758 |
$35K |
| 99172 |
|
3,248 |
3,205 |
$30K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
473 |
465 |
$14K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
492 |
491 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
899 |
883 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
544 |
542 |
$5K |
| 90686 |
|
1,002 |
999 |
$4K |
| 90651 |
|
227 |
227 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
183 |
177 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
183 |
177 |
$2K |
| 90480 |
|
39 |
39 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
56 |
55 |
$1K |
| 90715 |
|
238 |
237 |
$1K |
| 91320 |
|
12 |
12 |
$917.70 |
| 90632 |
|
19 |
19 |
$902.78 |
| 90670 |
|
403 |
401 |
$615.00 |
| 90734 |
|
204 |
204 |
$386.55 |
| 90621 |
|
12 |
12 |
$365.70 |
| 90656 |
|
26 |
26 |
$312.90 |
| 90619 |
|
46 |
46 |
$156.84 |
| 90698 |
|
281 |
279 |
$0.00 |
| 90744 |
|
77 |
77 |
$0.00 |
| 90680 |
|
24 |
24 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90461 |
|
1,135 |
1,131 |
$0.00 |
| 90633 |
|
247 |
247 |
$0.00 |
| 90710 |
|
73 |
73 |
$0.00 |
| 90685 |
|
52 |
52 |
$0.00 |