| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,927 |
3,820 |
$149K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
551 |
488 |
$40K |
| D1206 |
Topical application of fluoride varnish |
1,115 |
1,113 |
$21K |
| 99401 |
|
616 |
571 |
$18K |
| D0190 |
|
1,115 |
1,113 |
$12K |
| 92551 |
|
1,038 |
936 |
$8K |
| 99383 |
|
71 |
56 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
491 |
457 |
$5K |
| 96127 |
|
1,163 |
1,050 |
$5K |
| 99173 |
|
1,432 |
1,301 |
$4K |
| 85018 |
|
1,442 |
1,307 |
$4K |
| 99381 |
|
44 |
42 |
$3K |
| 36416 |
|
1,457 |
1,320 |
$3K |
| 0001A |
|
82 |
68 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
27 |
$3K |
| 90651 |
|
128 |
125 |
$2K |
| 81025 |
|
428 |
386 |
$2K |
| 0002A |
|
49 |
38 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
65 |
62 |
$1K |
| 90677 |
|
59 |
56 |
$705.66 |
| 90715 |
|
157 |
154 |
$628.47 |
| 90707 |
|
158 |
155 |
$613.92 |
| 90688 |
|
146 |
137 |
$570.00 |
| 92558 |
|
102 |
97 |
$567.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
60 |
$521.03 |
| 90686 |
|
971 |
964 |
$420.00 |
| 90716 |
|
142 |
139 |
$410.84 |
| 90710 |
|
25 |
25 |
$238.04 |
| 90734 |
|
61 |
56 |
$215.82 |
| 90633 |
|
347 |
338 |
$88.89 |
| 90696 |
|
30 |
30 |
$47.17 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$33.37 |
| 90656 |
|
23 |
23 |
$24.37 |
| 90461 |
|
1,981 |
1,922 |
$0.00 |
| 90670 |
|
746 |
720 |
$0.00 |
| 90648 |
|
90 |
84 |
$0.00 |
| 90671 |
|
41 |
41 |
$0.00 |
| 90658 |
|
44 |
44 |
$0.00 |
| 90661 |
|
29 |
29 |
$0.00 |
| 91300 |
|
18 |
18 |
$0.00 |
| 90680 |
|
139 |
132 |
$0.00 |
| 90698 |
|
87 |
87 |
$0.00 |
| 90674 |
|
76 |
76 |
$0.00 |
| 90723 |
|
52 |
48 |
$0.00 |