| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
680 |
670 |
$5K |
| 90686 |
|
632 |
628 |
$4K |
| 92551 |
|
1,445 |
1,427 |
$3K |
| 90658 |
|
196 |
187 |
$2K |
| 92081 |
|
1,385 |
1,367 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,859 |
2,611 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
115 |
$896.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
227 |
227 |
$631.33 |
| 85018 |
|
1,480 |
1,455 |
$547.38 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
58 |
58 |
$448.00 |
| 99000 |
|
903 |
901 |
$336.01 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
244 |
$334.28 |
| 81002 |
|
1,227 |
1,227 |
$225.82 |
| 82465 |
|
188 |
188 |
$112.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
219 |
219 |
$84.00 |
| 90651 |
|
14 |
14 |
$56.00 |
| 90657 |
|
40 |
39 |
$27.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
202 |
202 |
$14.00 |
| 81000 |
|
26 |
26 |
$5.45 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
45 |
$3.00 |
| 90734 |
|
12 |
12 |
$0.00 |