| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,335 |
2,012 |
$78K |
| T1016 |
Case management, each 15 minutes |
3,790 |
2,245 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,432 |
1,281 |
$24K |
| 90682 |
|
439 |
389 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
122 |
$14K |
| 90651 |
|
241 |
227 |
$12K |
| 91320 |
|
82 |
74 |
$9K |
| 90734 |
|
136 |
132 |
$5K |
| 90673 |
|
65 |
65 |
$5K |
| 90688 |
|
731 |
641 |
$4K |
| 0012A |
|
148 |
139 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
129 |
121 |
$3K |
| 90715 |
|
261 |
251 |
$3K |
| 90480 |
|
89 |
80 |
$3K |
| 0002A |
|
60 |
57 |
$2K |
| 0011A |
|
137 |
133 |
$2K |
| 90710 |
|
92 |
91 |
$2K |
| 0003A |
|
78 |
74 |
$2K |
| 0001A |
|
45 |
43 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
13 |
$1K |
| 0124A |
|
54 |
48 |
$1K |
| 90461 |
|
843 |
768 |
$1K |
| 90670 |
|
76 |
71 |
$1K |
| 90619 |
|
55 |
53 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
141 |
130 |
$874.51 |
| 0013A |
|
39 |
36 |
$840.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
216 |
149 |
$650.57 |
| 90633 |
|
98 |
91 |
$635.22 |
| 90707 |
|
13 |
13 |
$410.64 |
| 90674 |
|
19 |
19 |
$408.88 |
| 90696 |
|
72 |
72 |
$356.57 |
| 90686 |
|
329 |
282 |
$186.79 |
| 90723 |
|
14 |
12 |
$146.54 |
| 90685 |
|
68 |
65 |
$108.00 |
| 90756 |
|
22 |
12 |
$94.01 |
| 82962 |
|
14 |
13 |
$3.28 |
| 91300 |
|
296 |
279 |
$0.44 |
| 91312 |
|
54 |
48 |
$0.33 |
| 91301 |
|
278 |
267 |
$0.06 |
| 90662 |
|
16 |
16 |
$0.00 |
| 90658 |
|
13 |
12 |
$0.00 |
| 90698 |
|
41 |
38 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |