| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
2,139 |
1,695 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
764 |
529 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
282 |
189 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
906 |
639 |
$3K |
| 90461 |
|
530 |
376 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
111 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
223 |
206 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26 |
13 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
19 |
13 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
68 |
43 |
$789.39 |
| 90670 |
|
284 |
210 |
$725.09 |
| 90651 |
|
416 |
330 |
$517.53 |
| 90734 |
|
338 |
260 |
$241.65 |
| 90715 |
|
223 |
181 |
$196.78 |
| 90633 |
|
303 |
231 |
$193.14 |
| 90656 |
|
117 |
113 |
$192.86 |
| 90621 |
|
177 |
131 |
$113.04 |
| 90647 |
|
82 |
55 |
$52.41 |
| 90698 |
|
28 |
27 |
$52.12 |
| 90716 |
|
114 |
86 |
$48.67 |
| 90707 |
|
109 |
83 |
$48.63 |
| 90700 |
|
95 |
61 |
$0.48 |
| 90696 |
|
18 |
18 |
$0.18 |
| 90620 |
|
23 |
21 |
$0.17 |
| 90697 |
|
66 |
42 |
$0.11 |
| 90681 |
|
28 |
25 |
$0.10 |
| 90713 |
|
16 |
13 |
$0.08 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |