| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90716 |
|
1,255 |
1,183 |
$87K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,195 |
1,147 |
$56K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
1,698 |
1,591 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,289 |
1,110 |
$46K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,126 |
3,028 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
554 |
546 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,039 |
4,863 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
336 |
$23K |
| 90686 |
|
1,793 |
1,693 |
$20K |
| 90632 |
|
267 |
257 |
$19K |
| 86580 |
|
2,121 |
1,580 |
$17K |
| 90715 |
|
948 |
922 |
$16K |
| 90651 |
|
354 |
350 |
$14K |
| 0001A |
|
246 |
243 |
$8K |
| 90734 |
|
358 |
348 |
$8K |
| 91322 |
|
89 |
89 |
$7K |
| 90619 |
|
401 |
396 |
$7K |
| 90707 |
|
117 |
111 |
$7K |
| 90636 |
|
81 |
79 |
$7K |
| 90480 |
|
225 |
223 |
$6K |
| 90713 |
|
609 |
604 |
$6K |
| 90714 |
|
180 |
171 |
$5K |
| 83655 |
|
565 |
464 |
$4K |
| 90746 |
|
68 |
68 |
$4K |
| 0011A |
|
105 |
105 |
$4K |
| 0012A |
|
106 |
106 |
$4K |
| 0002A |
|
112 |
111 |
$4K |
| 90620 |
|
75 |
72 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
134 |
126 |
$2K |
| 90710 |
|
151 |
150 |
$2K |
| 0031A |
|
37 |
37 |
$1K |
| 90633 |
|
871 |
854 |
$1K |
| 90656 |
|
228 |
225 |
$1K |
| 0051A |
|
23 |
23 |
$920.00 |
| 0071A |
|
17 |
16 |
$520.00 |
| 0124A |
|
13 |
13 |
$480.00 |
| 90688 |
|
72 |
70 |
$437.45 |
| 90744 |
|
105 |
104 |
$265.80 |
| 90696 |
|
16 |
16 |
$130.00 |
| 90461 |
|
246 |
241 |
$53.58 |
| 90723 |
|
121 |
115 |
$0.00 |
| 91305 |
|
73 |
66 |
$0.00 |
| 91301 |
|
207 |
207 |
$0.00 |
| 91303 |
|
36 |
36 |
$0.00 |
| 91307 |
|
30 |
26 |
$0.00 |
| 90648 |
|
61 |
60 |
$0.00 |
| 90670 |
|
75 |
74 |
$0.00 |
| 91300 |
|
412 |
398 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |