| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
3,828 |
3,091 |
$235K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,444 |
3,656 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,600 |
2,125 |
$28K |
| 0012A |
|
481 |
466 |
$17K |
| 0011A |
|
424 |
417 |
$12K |
| 0002A |
|
372 |
360 |
$11K |
| 0001A |
|
402 |
383 |
$8K |
| 90688 |
|
981 |
836 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
31 |
28 |
$5K |
| 0013A |
|
120 |
120 |
$5K |
| 90649 |
|
745 |
632 |
$4K |
| 90715 |
|
312 |
262 |
$3K |
| 90716 |
|
641 |
518 |
$3K |
| 90707 |
|
639 |
527 |
$2K |
| 90677 |
|
224 |
139 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 72100 |
|
48 |
27 |
$941.82 |
| 90620 |
|
99 |
96 |
$901.25 |
| 90670 |
|
277 |
273 |
$584.47 |
| 90696 |
|
187 |
169 |
$545.72 |
| 0003A |
|
12 |
12 |
$480.00 |
| 90734 |
|
259 |
236 |
$236.86 |
| 90657 |
|
37 |
21 |
$235.82 |
| 90686 |
|
27 |
18 |
$222.65 |
| 90634 |
|
300 |
267 |
$213.25 |
| 90700 |
|
144 |
138 |
$188.64 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
899 |
867 |
$137.01 |
| 90662 |
|
49 |
30 |
$41.06 |
| 90633 |
|
104 |
60 |
$11.00 |
| 90623 |
|
61 |
36 |
$0.02 |
| G0008 |
Administration of influenza virus vaccine |
18 |
17 |
$0.00 |
| 91301 |
|
889 |
866 |
$0.00 |
| 90619 |
|
58 |
42 |
$0.00 |
| 90744 |
|
29 |
29 |
$0.00 |
| 91307 |
|
59 |
59 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90647 |
|
31 |
31 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
38 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |
| 90713 |
|
14 |
14 |
$0.00 |
| 91300 |
|
857 |
812 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
23 |
$0.00 |