| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,991 |
10,609 |
$553K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,257 |
2,007 |
$164K |
| 99402 |
|
2,765 |
2,491 |
$137K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,406 |
2,967 |
$52K |
| D1206 |
Topical application of fluoride varnish |
2,851 |
2,689 |
$52K |
| D0190 |
|
2,865 |
2,705 |
$30K |
| 99401 |
|
1,057 |
908 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
361 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
608 |
519 |
$23K |
| 90651 |
|
2,371 |
2,040 |
$17K |
| 81025 |
|
3,152 |
2,711 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
232 |
177 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
522 |
409 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
91 |
$7K |
| 90716 |
|
1,473 |
1,261 |
$7K |
| 92551 |
|
827 |
652 |
$6K |
| 90734 |
|
1,181 |
1,088 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,429 |
2,090 |
$5K |
| 90715 |
|
1,589 |
1,382 |
$5K |
| 99442 |
|
176 |
136 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
76 |
70 |
$4K |
| 90619 |
|
777 |
614 |
$3K |
| 83655 |
|
266 |
211 |
$3K |
| 99384 |
|
28 |
26 |
$3K |
| 99173 |
|
384 |
293 |
$2K |
| 90707 |
|
1,383 |
1,183 |
$2K |
| 96127 |
|
536 |
414 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$2K |
| 90686 |
|
2,552 |
2,265 |
$2K |
| 90670 |
|
3,119 |
2,804 |
$1K |
| 90480 |
|
48 |
38 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
83 |
$795.56 |
| 90682 |
|
13 |
13 |
$746.68 |
| 36416 |
|
402 |
329 |
$720.26 |
| 87210 |
|
206 |
185 |
$698.99 |
| 90710 |
|
815 |
748 |
$588.84 |
| 90633 |
|
2,904 |
2,596 |
$489.42 |
| 85018 |
|
208 |
145 |
$423.23 |
| 81002 |
|
151 |
127 |
$378.77 |
| 90698 |
|
2,682 |
2,363 |
$357.31 |
| 90677 |
|
236 |
178 |
$321.61 |
| 90620 |
|
35 |
30 |
$247.42 |
| 90696 |
|
1,100 |
981 |
$200.62 |
| 90621 |
|
52 |
38 |
$188.00 |
| 99177 |
|
24 |
24 |
$146.22 |
| 99174 |
|
29 |
29 |
$140.55 |
| 90461 |
|
2,039 |
1,749 |
$125.05 |
| 90744 |
|
1,102 |
949 |
$31.75 |
| 90656 |
|
19 |
19 |
$23.53 |
| 90671 |
|
173 |
167 |
$0.00 |
| 91322 |
|
16 |
12 |
$0.00 |
| 90697 |
|
364 |
329 |
$0.00 |
| 90674 |
|
66 |
56 |
$0.00 |
| 90680 |
|
883 |
769 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |