| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,538 |
5,400 |
$227K |
| 90461 |
|
3,044 |
2,945 |
$186K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,042 |
1,861 |
$77K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,319 |
1,256 |
$63K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,321 |
1,258 |
$63K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,004 |
924 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
842 |
750 |
$53K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,998 |
1,405 |
$33K |
| 83655 |
|
1,958 |
1,834 |
$31K |
| 99383 |
|
248 |
231 |
$21K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
389 |
373 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
722 |
691 |
$16K |
| 99201 |
|
417 |
406 |
$16K |
| 90632 |
|
240 |
236 |
$14K |
| 0012A |
|
456 |
447 |
$14K |
| 0011A |
|
461 |
445 |
$13K |
| 86580 |
|
1,737 |
1,518 |
$11K |
| 0031A |
|
377 |
353 |
$10K |
| 99382 |
|
107 |
103 |
$9K |
| 90671 |
|
113 |
109 |
$9K |
| 90686 |
|
989 |
952 |
$8K |
| 90734 |
|
812 |
783 |
$7K |
| 90651 |
|
699 |
665 |
$7K |
| 0001A |
|
184 |
182 |
$7K |
| 90670 |
|
877 |
852 |
$7K |
| 92551 |
|
672 |
626 |
$6K |
| 0002A |
|
173 |
171 |
$6K |
| D1206 |
Topical application of fluoride varnish |
310 |
274 |
$5K |
| 90633 |
|
1,760 |
1,719 |
$4K |
| 90619 |
|
223 |
223 |
$3K |
| 0072A |
|
76 |
73 |
$3K |
| 0064A |
|
168 |
123 |
$3K |
| 0071A |
|
77 |
70 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 0004A |
|
176 |
169 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 81025 |
|
1,147 |
1,046 |
$2K |
| 90715 |
|
550 |
527 |
$2K |
| 90647 |
|
586 |
567 |
$2K |
| 99173 |
|
697 |
649 |
$2K |
| 90697 |
|
15 |
13 |
$1K |
| 90723 |
|
487 |
479 |
$1K |
| 85018 |
|
515 |
485 |
$1K |
| 0034A |
|
62 |
56 |
$1K |
| 86780 |
|
114 |
109 |
$985.36 |
| 0124A |
|
69 |
66 |
$960.00 |
| 90710 |
|
289 |
277 |
$650.60 |
| 90696 |
|
268 |
258 |
$595.40 |
| 90656 |
|
62 |
62 |
$554.70 |
| 90680 |
|
60 |
56 |
$496.80 |
| 0134A |
|
21 |
16 |
$480.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$310.96 |
| 36416 |
|
262 |
254 |
$306.00 |
| 90716 |
|
88 |
86 |
$147.20 |
| 90707 |
|
60 |
60 |
$73.60 |
| 90681 |
|
60 |
58 |
$73.60 |
| 90688 |
|
49 |
48 |
$73.60 |
| 90620 |
|
30 |
27 |
$18.40 |
| 36415 |
Collection of venous blood by venipuncture |
29 |
28 |
$3.00 |
| 90700 |
|
59 |
57 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
130 |
118 |
$0.00 |
| 91303 |
|
193 |
185 |
$0.00 |
| 91301 |
|
222 |
219 |
$0.00 |