| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,536 |
5,430 |
$209K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,420 |
8,252 |
$162K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,201 |
1,781 |
$32K |
| 90474 |
|
1,329 |
1,310 |
$26K |
| 96160 |
|
1,152 |
1,091 |
$14K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
181 |
179 |
$4K |
| 90688 |
|
1,350 |
1,299 |
$4K |
| T1001 |
Nursing assessment / evaluation |
113 |
111 |
$3K |
| 90651 |
|
702 |
694 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
81 |
79 |
$1K |
| 90716 |
|
394 |
387 |
$749.17 |
| 90715 |
|
574 |
569 |
$746.81 |
| 90473 |
|
33 |
33 |
$626.69 |
| 90670 |
|
2,265 |
2,220 |
$460.28 |
| 90682 |
|
55 |
54 |
$376.60 |
| 90656 |
|
142 |
142 |
$339.54 |
| 90734 |
|
539 |
534 |
$334.00 |
| S9470 |
Nutritional counseling, dietitian visit |
27 |
25 |
$280.00 |
| 90707 |
|
363 |
355 |
$261.37 |
| 86580 |
|
32 |
28 |
$179.10 |
| 90677 |
|
241 |
238 |
$79.00 |
| 90662 |
|
14 |
14 |
$45.00 |
| 90686 |
|
947 |
944 |
$16.00 |
| 90744 |
|
1,005 |
984 |
$6.00 |
| 90648 |
|
114 |
112 |
$1.00 |
| G0008 |
Administration of influenza virus vaccine |
349 |
349 |
$0.15 |
| 90698 |
|
1,469 |
1,439 |
$0.06 |
| 90680 |
|
1,408 |
1,389 |
$0.05 |
| 90619 |
|
463 |
460 |
$0.02 |
| 90696 |
|
393 |
392 |
$0.00 |
| 90697 |
|
635 |
631 |
$0.00 |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
57 |
52 |
$0.00 |
| 90710 |
|
463 |
460 |
$0.00 |
| 90700 |
|
241 |
240 |
$0.00 |
| 90633 |
|
1,528 |
1,509 |
$0.00 |
| 90621 |
|
153 |
152 |
$0.00 |
| 90671 |
|
306 |
306 |
$0.00 |
| 90685 |
|
362 |
354 |
$0.00 |
| 90687 |
|
29 |
28 |
$0.00 |
| 90672 |
|
33 |
33 |
$0.00 |