| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,305 |
9,178 |
$352K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,706 |
14,422 |
$281K |
| 90473 |
|
907 |
894 |
$18K |
| T1001 |
Nursing assessment / evaluation |
490 |
464 |
$12K |
| 90651 |
|
3,128 |
3,100 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
245 |
232 |
$7K |
| 90715 |
|
2,447 |
2,416 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
286 |
273 |
$7K |
| S0612 |
Annual gynecological examination, established patient |
78 |
77 |
$6K |
| 91320 |
|
91 |
90 |
$5K |
| 81025 |
|
740 |
706 |
$5K |
| 99201 |
|
145 |
141 |
$4K |
| 90716 |
|
832 |
811 |
$4K |
| 91322 |
|
76 |
76 |
$4K |
| 90686 |
|
4,335 |
4,237 |
$4K |
| 90480 |
|
223 |
221 |
$4K |
| 99502 |
|
55 |
53 |
$3K |
| 90670 |
|
2,852 |
2,809 |
$2K |
| 90734 |
|
2,786 |
2,756 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
174 |
156 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
36 |
$2K |
| 90707 |
|
622 |
613 |
$2K |
| 90474 |
|
52 |
52 |
$1K |
| 90677 |
|
328 |
327 |
$942.00 |
| 90656 |
|
198 |
197 |
$817.00 |
| 87210 |
|
108 |
98 |
$492.15 |
| 90688 |
|
52 |
52 |
$460.00 |
| 86580 |
|
57 |
53 |
$312.00 |
| 90621 |
|
240 |
237 |
$136.29 |
| 90633 |
|
2,748 |
2,705 |
$40.00 |
| 90696 |
|
855 |
848 |
$0.01 |
| 90710 |
|
1,286 |
1,271 |
$0.01 |
| 90698 |
|
1,908 |
1,876 |
$0.00 |
| 90619 |
|
1,506 |
1,501 |
$0.00 |
| 90744 |
|
1,052 |
1,036 |
$0.00 |
| 90723 |
|
257 |
255 |
$0.00 |
| 90697 |
|
449 |
447 |
$0.00 |
| 90620 |
|
27 |
25 |
$0.00 |
| 90647 |
|
244 |
241 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
18 |
12 |
$0.00 |
| 86592 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
15 |
$0.00 |
| 90681 |
|
635 |
628 |
$0.00 |
| 90700 |
|
265 |
262 |
$0.00 |
| 90713 |
|
110 |
109 |
$0.00 |
| 91321 |
|
33 |
33 |
$0.00 |
| 90649 |
|
14 |
14 |
$0.00 |