| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,765 |
11,005 |
$114K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,673 |
6,609 |
$92K |
| S9083 |
Global fee urgent care centers |
2,588 |
2,371 |
$56K |
| 0002A |
|
610 |
604 |
$23K |
| 0001A |
|
635 |
628 |
$20K |
| 90651 |
|
2,193 |
1,895 |
$18K |
| 90670 |
|
2,372 |
2,292 |
$14K |
| 90474 |
|
1,481 |
1,235 |
$10K |
| 90716 |
|
2,011 |
1,739 |
$9K |
| 0004A |
|
274 |
264 |
$9K |
| 90697 |
|
398 |
244 |
$9K |
| 90656 |
|
2,277 |
2,106 |
$8K |
| 90734 |
|
1,743 |
1,484 |
$8K |
| 90715 |
|
895 |
755 |
$5K |
| 90707 |
|
1,914 |
1,653 |
$4K |
| 0071A |
|
87 |
87 |
$3K |
| 90671 |
|
632 |
376 |
$3K |
| 0072A |
|
65 |
65 |
$3K |
| 90633 |
|
1,882 |
1,649 |
$2K |
| 90680 |
|
902 |
737 |
$1K |
| 0003A |
|
31 |
31 |
$1K |
| 90621 |
|
426 |
286 |
$1K |
| 90648 |
|
1,066 |
959 |
$702.00 |
| 90677 |
|
80 |
41 |
$643.88 |
| 90700 |
|
780 |
708 |
$552.60 |
| 0124A |
|
21 |
21 |
$320.00 |
| 90620 |
|
120 |
97 |
$257.50 |
| 90681 |
|
118 |
102 |
$255.88 |
| 90698 |
|
1,068 |
1,020 |
$221.00 |
| 90723 |
|
237 |
221 |
$89.01 |
| 99050 |
|
18,600 |
17,462 |
$88.00 |
| 90696 |
|
429 |
371 |
$58.62 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,974 |
1,855 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
180 |
177 |
$0.00 |
| 90649 |
|
143 |
138 |
$0.00 |
| 99442 |
|
65 |
64 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
49 |
49 |
$0.00 |
| 90655 |
|
45 |
45 |
$0.00 |
| 90714 |
|
26 |
26 |
$0.00 |
| 90744 |
|
632 |
603 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,794 |
1,750 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
107 |
100 |
$0.00 |
| 96127 |
|
139 |
139 |
$0.00 |
| 99368 |
|
101 |
101 |
$0.00 |
| 99443 |
|
86 |
71 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
63 |
63 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
30 |
29 |
$0.00 |
| 99441 |
|
17 |
17 |
$0.00 |