| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,543 |
4,540 |
$49K |
| 90671 |
|
795 |
596 |
$44K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,577 |
4,491 |
$43K |
| 90674 |
|
1,310 |
1,143 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
233 |
122 |
$19K |
| 0012A |
|
440 |
424 |
$12K |
| 0011A |
|
460 |
448 |
$11K |
| 90677 |
|
221 |
151 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,320 |
816 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
264 |
208 |
$8K |
| 90670 |
|
748 |
714 |
$8K |
| 90461 |
|
876 |
542 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
50 |
$7K |
| 90620 |
|
1,081 |
873 |
$6K |
| 90734 |
|
1,449 |
1,225 |
$6K |
| 90716 |
|
1,008 |
834 |
$6K |
| 90650 |
|
1,785 |
1,541 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
327 |
238 |
$5K |
| S9083 |
Global fee urgent care centers |
176 |
156 |
$4K |
| 0013A |
|
90 |
90 |
$4K |
| 90715 |
|
752 |
633 |
$3K |
| 90707 |
|
996 |
827 |
$3K |
| 90680 |
|
713 |
555 |
$1K |
| 90723 |
|
695 |
540 |
$1K |
| 0064A |
|
23 |
23 |
$920.00 |
| 90633 |
|
903 |
720 |
$866.98 |
| 90648 |
|
1,029 |
805 |
$823.47 |
| 90473 |
|
949 |
772 |
$692.61 |
| 99051 |
|
44 |
44 |
$630.00 |
| 90696 |
|
132 |
109 |
$389.10 |
| 90700 |
|
328 |
245 |
$248.67 |
| 90698 |
|
320 |
294 |
$83.51 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
39 |
$46.08 |
| 90653 |
|
15 |
12 |
$40.02 |
| 86738 |
|
12 |
12 |
$39.19 |
| 87400 |
|
13 |
13 |
$32.12 |
| 99050 |
|
3,728 |
3,224 |
$22.00 |
| 3008F |
|
1,528 |
980 |
$0.00 |
| 2010F |
|
835 |
549 |
$0.00 |
| 2001F |
|
803 |
550 |
$0.00 |
| 4037F |
|
50 |
37 |
$0.00 |
| 1170F |
|
217 |
184 |
$0.00 |
| 1126F |
|
281 |
188 |
$0.00 |
| 3074F |
|
961 |
614 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |
| 91301 |
|
640 |
600 |
$0.00 |
| 2000F |
|
839 |
550 |
$0.00 |
| 3079F |
|
128 |
86 |
$0.00 |
| 90744 |
|
30 |
29 |
$0.00 |
| 1101F |
|
98 |
79 |
$0.00 |
| 3017F |
|
42 |
32 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
53 |
27 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
25 |
12 |
$0.00 |
| 0509F |
|
161 |
129 |
$0.00 |
| 1125F |
|
34 |
27 |
$0.00 |
| 3075F |
|
112 |
56 |
$0.00 |
| 3048F |
|
23 |
15 |
$0.00 |
| 3078F |
|
1,058 |
688 |
$0.00 |
| 1160F |
|
559 |
371 |
$0.00 |
| 1159F |
|
927 |
623 |
$0.00 |
| 1158F |
|
167 |
134 |
$0.00 |
| 1090F |
|
161 |
128 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
51 |
43 |
$0.00 |
| 0521F |
|
187 |
146 |
$0.00 |
| 3077F |
|
50 |
43 |
$0.00 |
| 3725F |
|
214 |
168 |
$0.00 |
| 90713 |
|
22 |
13 |
$0.00 |
| 90658 |
|
62 |
62 |
$0.00 |