| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,195 |
2,030 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
348 |
$28K |
| 99402 |
|
513 |
461 |
$24K |
| 99401 |
|
526 |
453 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
828 |
762 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,061 |
970 |
$10K |
| 83655 |
|
884 |
816 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
122 |
121 |
$8K |
| D1206 |
Topical application of fluoride varnish |
505 |
505 |
$6K |
| 90651 |
|
334 |
310 |
$6K |
| D0190 |
|
505 |
505 |
$4K |
| 81025 |
|
772 |
698 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
39 |
$3K |
| 0001A |
|
87 |
83 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
101 |
$3K |
| 85018 |
|
917 |
814 |
$2K |
| 36416 |
|
1,342 |
1,219 |
$2K |
| 99381 |
|
27 |
26 |
$2K |
| 92551 |
|
285 |
247 |
$2K |
| 90734 |
|
208 |
197 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
167 |
154 |
$1K |
| 90619 |
|
95 |
82 |
$906.01 |
| 96127 |
|
230 |
207 |
$887.45 |
| 90715 |
|
285 |
269 |
$823.17 |
| 0002A |
|
25 |
23 |
$774.44 |
| 90688 |
|
89 |
81 |
$770.30 |
| 90716 |
|
88 |
75 |
$691.02 |
| 99177 |
|
121 |
102 |
$623.38 |
| 90686 |
|
549 |
542 |
$600.00 |
| 90707 |
|
88 |
77 |
$421.83 |
| 36415 |
Collection of venous blood by venipuncture |
183 |
162 |
$344.91 |
| 99173 |
|
114 |
99 |
$311.13 |
| 94250 |
|
13 |
12 |
$239.25 |
| 90461 |
|
981 |
918 |
$225.20 |
| 90656 |
|
13 |
13 |
$70.59 |
| 90647 |
|
25 |
25 |
$24.12 |
| 90696 |
|
20 |
17 |
$0.00 |
| 90674 |
|
19 |
19 |
$0.00 |
| 90633 |
|
93 |
84 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 91300 |
|
34 |
33 |
$0.00 |