| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
7,199 |
5,977 |
$577K |
| V5008 |
Hearing screening |
9,846 |
9,495 |
$91K |
| H2000 |
Comprehensive multidisciplinary evaluation |
544 |
544 |
$58K |
| 99172 |
|
6,075 |
6,025 |
$57K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,534 |
2,521 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,775 |
3,737 |
$30K |
| 83655 |
|
1,835 |
1,824 |
$25K |
| 85018 |
|
4,932 |
4,881 |
$11K |
| 36416 |
|
1,709 |
1,698 |
$11K |
| 90632 |
|
113 |
113 |
$6K |
| H1000 |
Prenatal care, at-risk assessment |
68 |
68 |
$6K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
66 |
66 |
$6K |
| 90686 |
|
754 |
750 |
$4K |
| 90651 |
|
361 |
359 |
$3K |
| 90746 |
|
37 |
37 |
$2K |
| 90715 |
|
465 |
462 |
$2K |
| 86580 |
|
274 |
264 |
$1K |
| 91320 |
|
14 |
14 |
$1K |
| 90716 |
|
74 |
73 |
$945.60 |
| 90707 |
|
103 |
103 |
$747.52 |
| 90480 |
|
28 |
28 |
$721.00 |
| 90621 |
|
19 |
19 |
$365.70 |
| 90656 |
|
43 |
43 |
$335.25 |
| 90670 |
|
454 |
454 |
$333.00 |
| 90619 |
|
152 |
150 |
$144.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
14 |
14 |
$96.32 |
| 90744 |
|
182 |
181 |
$0.00 |
| 90698 |
|
313 |
313 |
$0.00 |
| 90696 |
|
129 |
129 |
$0.00 |
| 90677 |
|
16 |
16 |
$0.00 |
| 90633 |
|
373 |
373 |
$0.00 |
| 90734 |
|
327 |
327 |
$0.00 |
| 90710 |
|
215 |
215 |
$0.00 |
| 90700 |
|
123 |
122 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90685 |
|
73 |
72 |
$0.00 |
| 90713 |
|
35 |
35 |
$0.00 |