| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,816 |
2,714 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,102 |
1,068 |
$41K |
| 0001A |
|
832 |
792 |
$19K |
| 0002A |
|
583 |
568 |
$16K |
| 0071A |
|
252 |
251 |
$9K |
| 0072A |
|
163 |
163 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
255 |
242 |
$3K |
| 90686 |
|
1,076 |
1,042 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
36 |
$2K |
| 0004A |
|
65 |
64 |
$2K |
| 90480 |
|
56 |
49 |
$744.46 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
14 |
$560.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$560.00 |
| 86580 |
|
94 |
86 |
$489.54 |
| 0111A |
|
12 |
12 |
$480.00 |
| 0124A |
|
13 |
13 |
$480.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
15 |
$386.87 |
| 90651 |
|
154 |
151 |
$384.00 |
| 90734 |
|
221 |
218 |
$327.00 |
| 0031A |
|
15 |
14 |
$320.00 |
| 90715 |
|
164 |
163 |
$205.00 |
| 81025 |
|
15 |
15 |
$89.16 |
| 90688 |
|
53 |
52 |
$60.00 |
| 81002 |
|
14 |
12 |
$27.09 |
| 90619 |
|
107 |
106 |
$0.01 |
| 91319 |
|
17 |
15 |
$0.00 |
| 91305 |
|
45 |
45 |
$0.00 |
| 90694 |
|
15 |
15 |
$0.00 |
| 91307 |
|
439 |
435 |
$0.00 |
| 90696 |
|
15 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
37 |
$0.00 |
| 90670 |
|
79 |
75 |
$0.00 |
| 91300 |
|
981 |
914 |
$0.00 |
| 90633 |
|
64 |
61 |
$0.00 |
| 90685 |
|
60 |
59 |
$0.00 |
| 90687 |
|
15 |
15 |
$0.00 |
| 90710 |
|
30 |
29 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |