| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
27,115 |
24,933 |
$461K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27,095 |
24,923 |
$279K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
18,502 |
17,740 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,895 |
1,744 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,365 |
1,177 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,073 |
3,129 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
890 |
847 |
$52K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,998 |
1,478 |
$39K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
582 |
552 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
442 |
419 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
880 |
769 |
$24K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
214 |
207 |
$22K |
| 86780 |
|
2,700 |
2,598 |
$21K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
312 |
288 |
$15K |
| G0435 |
Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening |
1,998 |
1,831 |
$15K |
| 86480 |
|
570 |
508 |
$12K |
| 87153 |
|
125 |
123 |
$10K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
603 |
444 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,404 |
2,055 |
$8K |
| 99215 |
Prolong outpt/office vis |
59 |
57 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,829 |
3,562 |
$7K |
| 0054A |
|
152 |
148 |
$5K |
| 81025 |
|
1,811 |
1,667 |
$5K |
| 86592 |
|
4,120 |
3,949 |
$5K |
| 0124A |
|
87 |
87 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$3K |
| 87503 |
|
458 |
447 |
$3K |
| 0064A |
|
59 |
59 |
$2K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
48 |
45 |
$2K |
| 0051A |
|
38 |
38 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
149 |
65 |
$2K |
| 99385 |
|
13 |
12 |
$1K |
| 0134A |
|
35 |
35 |
$1K |
| 83655 |
|
222 |
192 |
$1K |
| 0052A |
|
24 |
24 |
$960.00 |
| 87210 |
|
507 |
461 |
$643.10 |
| 90480 |
|
15 |
15 |
$560.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,103 |
922 |
$350.84 |
| 81002 |
|
240 |
216 |
$247.82 |
| 85018 |
|
206 |
180 |
$186.33 |
| 86803 |
|
27 |
25 |
$156.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
301 |
277 |
$105.09 |
| 83718 |
|
18 |
18 |
$39.18 |
| 82947 |
|
18 |
18 |
$26.71 |
| 86593 |
|
15 |
15 |
$21.86 |
| 82465 |
|
18 |
18 |
$21.39 |
| 86580 |
|
28 |
28 |
$16.60 |
| 90651 |
|
316 |
230 |
$0.00 |
| 91305 |
|
342 |
322 |
$0.00 |
| 90686 |
|
570 |
514 |
$0.00 |
| 36416 |
|
165 |
136 |
$0.00 |
| 90716 |
|
239 |
214 |
$0.00 |
| 90744 |
|
181 |
165 |
$0.00 |
| 99383 |
|
28 |
25 |
$0.00 |
| 90619 |
|
43 |
38 |
$0.00 |
| 90677 |
|
61 |
59 |
$0.00 |
| 91306 |
|
59 |
59 |
$0.00 |
| 90656 |
|
75 |
75 |
$0.00 |
| 90620 |
|
18 |
14 |
$0.00 |
| 90633 |
|
328 |
238 |
$0.00 |
| 91313 |
|
35 |
35 |
$0.00 |
| 90707 |
|
109 |
94 |
$0.00 |
| 90710 |
|
50 |
40 |
$0.00 |
| 87501 |
|
55 |
54 |
$0.00 |
| 91312 |
|
87 |
87 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
569 |
527 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
154 |
148 |
$0.00 |
| 90715 |
|
186 |
147 |
$0.00 |
| 90713 |
|
142 |
108 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 91320 |
|
74 |
69 |
$0.00 |
| 90655 |
|
47 |
45 |
$0.00 |
| 90670 |
|
44 |
44 |
$0.00 |
| 90461 |
|
22 |
18 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90611 |
|
14 |
12 |
$0.00 |