| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,080 |
2,042 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,014 |
954 |
$16K |
| 99401 |
|
4,287 |
3,969 |
$11K |
| 90461 |
|
321 |
321 |
$5K |
| 90707 |
|
49 |
49 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
112 |
$3K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
272 |
249 |
$3K |
| 90716 |
|
37 |
37 |
$3K |
| 90713 |
|
153 |
153 |
$2K |
| 90750 |
|
12 |
12 |
$2K |
| 90715 |
|
472 |
472 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
69 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
113 |
$2K |
| 90688 |
|
83 |
83 |
$2K |
| 90480 |
|
91 |
91 |
$1K |
| 90632 |
|
12 |
12 |
$976.67 |
| 86580 |
|
191 |
189 |
$949.27 |
| 90686 |
|
298 |
298 |
$939.59 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
36 |
36 |
$505.71 |
| 90734 |
|
418 |
418 |
$432.65 |
| 90651 |
|
103 |
103 |
$260.39 |
| 90619 |
|
123 |
123 |
$175.33 |
| 90696 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
40 |
$0.00 |
| 90655 |
|
70 |
70 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90710 |
|
66 |
66 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |