| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104,583 |
103,122 |
$4.71M |
| 90739 |
|
7,347 |
7,239 |
$997K |
| 90716 |
|
17,844 |
16,305 |
$955K |
| 90651 |
|
29,539 |
28,258 |
$703K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29,745 |
28,988 |
$679K |
| 90707 |
|
14,464 |
13,199 |
$614K |
| 90632 |
|
12,112 |
11,668 |
$494K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,448 |
11,196 |
$319K |
| 91322 |
|
2,683 |
2,587 |
$282K |
| 90715 |
|
36,080 |
34,745 |
$243K |
| 0071A |
|
2,512 |
2,397 |
$195K |
| 0001A |
|
3,736 |
3,639 |
$155K |
| 90480 |
|
4,962 |
4,943 |
$152K |
| 90686 |
|
28,981 |
27,696 |
$132K |
| 0072A |
|
1,664 |
1,588 |
$130K |
| 0002A |
|
2,494 |
2,455 |
$128K |
| 0011A |
|
3,702 |
3,639 |
$108K |
| 0012A |
|
3,015 |
2,988 |
$102K |
| 0124A |
|
1,357 |
1,346 |
$99K |
| 0064A |
|
1,283 |
1,254 |
$84K |
| 0051A |
|
927 |
904 |
$75K |
| 0004A |
|
1,022 |
983 |
$75K |
| 0052A |
|
917 |
897 |
$74K |
| 0054A |
|
850 |
821 |
$63K |
| 90750 |
|
365 |
346 |
$51K |
| 90620 |
|
3,283 |
3,109 |
$49K |
| 0031A |
|
1,073 |
1,059 |
$49K |
| 91320 |
|
611 |
601 |
$45K |
| 0134A |
|
728 |
711 |
$42K |
| 90674 |
|
3,605 |
3,380 |
$38K |
| 0121A |
|
747 |
745 |
$34K |
| 90734 |
|
20,391 |
19,529 |
$19K |
| 0073A |
|
196 |
196 |
$16K |
| 90713 |
|
11,713 |
11,135 |
$16K |
| 90656 |
|
712 |
705 |
$16K |
| 0074A |
|
197 |
174 |
$15K |
| 0013A |
|
224 |
217 |
$15K |
| 90746 |
|
219 |
213 |
$14K |
| 0081A |
|
152 |
150 |
$12K |
| 0154A |
|
132 |
130 |
$10K |
| 90677 |
|
617 |
549 |
$9K |
| 90619 |
|
6,810 |
6,464 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
813 |
611 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
164 |
147 |
$8K |
| 0151A |
|
168 |
168 |
$7K |
| 90670 |
|
6,002 |
5,838 |
$7K |
| 90688 |
|
1,186 |
1,142 |
$5K |
| 0111A |
|
75 |
65 |
$5K |
| 0091A |
|
61 |
61 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
61 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
134 |
122 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
137 |
122 |
$4K |
| 0082A |
|
44 |
44 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
106 |
104 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 96380 |
|
170 |
169 |
$3K |
| 0003A |
|
35 |
34 |
$3K |
| 90636 |
|
28 |
28 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
675 |
647 |
$2K |
| 81025 |
|
421 |
366 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
45 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
25 |
25 |
$1K |
| 90461 |
|
99 |
99 |
$1K |
| 0141A |
|
26 |
26 |
$1K |
| 90662 |
|
61 |
61 |
$1K |
| 0112A |
|
14 |
12 |
$1K |
| 86780 |
|
83 |
77 |
$955.59 |
| 0053A |
|
12 |
12 |
$923.86 |
| 90694 |
|
17 |
17 |
$883.45 |
| 0171A |
|
15 |
15 |
$688.83 |
| 90621 |
|
1,354 |
1,277 |
$348.02 |
| 90744 |
|
7,259 |
6,878 |
$202.38 |
| 91319 |
|
182 |
172 |
$111.18 |
| 90633 |
|
18,428 |
17,614 |
$105.15 |
| 91312 |
|
248 |
240 |
$83.93 |
| 90714 |
|
12 |
12 |
$40.18 |
| G0008 |
Administration of influenza virus vaccine |
74 |
67 |
$18.28 |
| 90756 |
|
1,333 |
1,069 |
$15.43 |
| 90700 |
|
5,532 |
5,313 |
$5.83 |
| 90710 |
|
10,982 |
10,654 |
$5.67 |
| 90723 |
|
2,959 |
2,866 |
$2.63 |
| 91301 |
|
2,153 |
2,095 |
$1.22 |
| 90696 |
|
5,624 |
5,479 |
$0.43 |
| 91313 |
|
131 |
125 |
$0.26 |
| 91305 |
|
228 |
151 |
$0.12 |
| 90611 |
|
13 |
13 |
$0.12 |
| 91307 |
|
1,272 |
1,015 |
$0.10 |
| 91300 |
|
1,440 |
1,353 |
$0.04 |
| 91321 |
|
692 |
584 |
$0.02 |
| 91306 |
|
153 |
141 |
$0.01 |
| 90680 |
|
1,693 |
1,653 |
$0.00 |
| 90698 |
|
3,785 |
3,657 |
$0.00 |
| 91303 |
|
112 |
109 |
$0.00 |
| 90697 |
|
518 |
489 |
$0.00 |
| 90647 |
|
1,887 |
1,842 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
20 |
18 |
$0.00 |
| 91318 |
|
13 |
12 |
$0.00 |
| 90381 |
|
77 |
42 |
$0.00 |
| 91315 |
|
15 |
14 |
$0.00 |
| 90671 |
|
339 |
330 |
$0.00 |
| 90685 |
|
153 |
153 |
$0.00 |
| 90661 |
|
208 |
208 |
$0.00 |
| 90672 |
|
29 |
29 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 90380 |
|
129 |
61 |
$0.00 |