| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27,181 |
27,073 |
$394K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39,863 |
39,464 |
$285K |
| V5008 |
Hearing screening |
13,997 |
13,989 |
$130K |
| 99172 |
|
13,977 |
13,970 |
$129K |
| 90651 |
|
7,265 |
7,263 |
$119K |
| 90716 |
|
5,153 |
5,148 |
$96K |
| 99402 |
|
819 |
784 |
$80K |
| 90632 |
|
2,305 |
2,301 |
$77K |
| 90715 |
|
8,441 |
8,437 |
$58K |
| 90707 |
|
4,159 |
4,155 |
$50K |
| 90746 |
|
1,054 |
1,047 |
$44K |
| 90621 |
|
1,713 |
1,713 |
$42K |
| 90686 |
|
9,883 |
9,875 |
$33K |
| 91320 |
|
405 |
404 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,390 |
1,383 |
$32K |
| 86580 |
|
4,816 |
4,596 |
$26K |
| H2000 |
Comprehensive multidisciplinary evaluation |
210 |
206 |
$24K |
| 83655 |
|
1,927 |
1,920 |
$24K |
| 90750 |
|
147 |
147 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,092 |
1,090 |
$14K |
| 90636 |
|
175 |
175 |
$12K |
| 81025 |
|
1,397 |
1,353 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
111 |
111 |
$9K |
| 90474 |
|
2,917 |
2,913 |
$9K |
| 90480 |
|
787 |
783 |
$8K |
| 99385 |
|
83 |
83 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
197 |
191 |
$8K |
| 90734 |
|
4,720 |
4,719 |
$7K |
| 90619 |
|
3,288 |
3,288 |
$6K |
| 90670 |
|
6,095 |
6,086 |
$6K |
| S4993 |
Contraceptive pills for birth control |
490 |
480 |
$4K |
| 90688 |
|
315 |
315 |
$4K |
| 90677 |
|
976 |
976 |
$4K |
| 90732 |
|
37 |
35 |
$3K |
| 90713 |
|
2,498 |
2,498 |
$2K |
| 90656 |
|
390 |
390 |
$1K |
| 90714 |
|
69 |
68 |
$1K |
| 90671 |
|
1,142 |
1,142 |
$216.00 |
| 90744 |
|
2,441 |
2,436 |
$187.00 |
| 96381 |
|
13 |
13 |
$110.00 |
| 90473 |
|
12 |
12 |
$33.00 |
| 90685 |
|
1,022 |
1,014 |
$17.00 |
| 90672 |
|
49 |
49 |
$10.00 |
| 90700 |
|
3,416 |
3,413 |
$0.00 |
| 90710 |
|
4,353 |
4,351 |
$0.00 |
| 90681 |
|
2,879 |
2,875 |
$0.00 |
| 90633 |
|
7,428 |
7,423 |
$0.00 |
| 91321 |
|
18 |
18 |
$0.00 |
| 90697 |
|
1,722 |
1,721 |
$0.00 |
| 90647 |
|
3,051 |
3,047 |
$0.00 |
| 90723 |
|
1,872 |
1,869 |
$0.00 |
| 90698 |
|
2,865 |
2,860 |
$0.00 |
| 90696 |
|
3,099 |
3,097 |
$0.00 |
| 91319 |
|
40 |
40 |
$0.00 |