| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,422 |
5,177 |
$286K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,201 |
1,012 |
$19K |
| 90651 |
|
1,281 |
1,240 |
$18K |
| 99401 |
|
664 |
578 |
$17K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
971 |
824 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
644 |
573 |
$17K |
| 90716 |
|
1,126 |
1,090 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
234 |
187 |
$8K |
| 81025 |
|
1,335 |
1,105 |
$6K |
| 90734 |
|
1,099 |
1,069 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
79 |
67 |
$5K |
| 90707 |
|
1,051 |
1,017 |
$5K |
| 90670 |
|
1,611 |
1,534 |
$4K |
| 90715 |
|
1,089 |
1,063 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
317 |
284 |
$3K |
| 87808 |
|
438 |
376 |
$2K |
| 90688 |
|
109 |
107 |
$2K |
| 87905 |
|
329 |
294 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
29 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
75 |
72 |
$991.86 |
| 99201 |
|
40 |
29 |
$880.59 |
| 90723 |
|
223 |
212 |
$800.00 |
| 90620 |
|
46 |
46 |
$670.75 |
| 90633 |
|
1,451 |
1,422 |
$665.00 |
| 90700 |
|
434 |
422 |
$454.68 |
| 90680 |
|
580 |
537 |
$425.00 |
| 90713 |
|
211 |
208 |
$385.00 |
| 90658 |
|
22 |
22 |
$256.84 |
| 90648 |
|
180 |
167 |
$210.04 |
| 90686 |
|
832 |
820 |
$78.00 |
| 90744 |
|
889 |
850 |
$75.00 |
| 36415 |
Collection of venous blood by venipuncture |
39 |
32 |
$46.32 |
| 90698 |
|
1,054 |
999 |
$0.00 |
| 90696 |
|
669 |
655 |
$0.00 |
| 90647 |
|
86 |
81 |
$0.00 |
| 99000 |
|
1,585 |
1,341 |
$0.00 |
| 90710 |
|
545 |
538 |
$0.00 |