| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,338 |
8,697 |
$331K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,307 |
14,148 |
$277K |
| 90474 |
|
3,068 |
2,781 |
$55K |
| T1001 |
Nursing assessment / evaluation |
341 |
279 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
256 |
247 |
$7K |
| 90682 |
|
177 |
169 |
$5K |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
248 |
210 |
$4K |
| 90686 |
|
4,047 |
3,683 |
$4K |
| 0071A |
|
108 |
87 |
$3K |
| 0002A |
|
115 |
104 |
$3K |
| 0012A |
|
324 |
310 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
211 |
179 |
$3K |
| 0001A |
|
152 |
129 |
$3K |
| 91320 |
|
128 |
74 |
$3K |
| 0072A |
|
78 |
66 |
$3K |
| 90473 |
|
132 |
109 |
$2K |
| 90651 |
|
1,669 |
1,591 |
$2K |
| 0011A |
|
230 |
223 |
$2K |
| 90480 |
|
273 |
151 |
$2K |
| 90715 |
|
1,108 |
1,062 |
$1K |
| 96380 |
|
99 |
65 |
$1K |
| 92551 |
|
75 |
73 |
$1K |
| 0064A |
|
55 |
55 |
$1K |
| 90670 |
|
4,126 |
3,946 |
$972.10 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
36 |
29 |
$865.00 |
| 83655 |
|
77 |
77 |
$854.10 |
| 86580 |
|
151 |
111 |
$761.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$706.42 |
| 91304 |
|
34 |
27 |
$610.34 |
| 90716 |
|
2,087 |
1,968 |
$488.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
46 |
$443.67 |
| 90620 |
|
370 |
335 |
$331.50 |
| 0031A |
|
15 |
15 |
$273.56 |
| 90662 |
|
91 |
77 |
$261.09 |
| 0003A |
|
14 |
14 |
$202.59 |
| 0134A |
|
19 |
18 |
$200.00 |
| 99173 |
|
39 |
38 |
$180.15 |
| 90707 |
|
2,074 |
1,966 |
$141.84 |
| 90734 |
|
1,398 |
1,320 |
$114.00 |
| 81002 |
|
35 |
25 |
$93.97 |
| 90656 |
|
195 |
191 |
$59.31 |
| 90672 |
|
143 |
120 |
$27.48 |
| 90671 |
|
1,076 |
852 |
$0.00 |
| 90633 |
|
2,931 |
2,800 |
$0.00 |
| 90710 |
|
316 |
312 |
$0.00 |
| 90685 |
|
434 |
430 |
$0.00 |
| 90697 |
|
1,726 |
1,497 |
$0.00 |
| 90680 |
|
3,064 |
2,811 |
$0.00 |
| 90698 |
|
3,590 |
3,437 |
$0.00 |
| 90744 |
|
1,574 |
1,505 |
$0.00 |
| 90696 |
|
736 |
699 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
148 |
144 |
$0.00 |
| 90619 |
|
663 |
631 |
$0.00 |
| 90381 |
|
210 |
86 |
$0.00 |
| 36416 |
|
43 |
40 |
$0.00 |