| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z9560 |
|
21,504 |
16,188 |
$12.36M |
| Z9557 |
|
1,436 |
1,192 |
$862K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,684 |
3,675 |
$338K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,662 |
4,443 |
$300K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
10,772 |
10,355 |
$295K |
| 90716 |
|
2,985 |
2,979 |
$103K |
| 90651 |
|
3,055 |
3,051 |
$95K |
| 90707 |
|
2,635 |
2,616 |
$92K |
| 90715 |
|
4,742 |
4,729 |
$76K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
591 |
582 |
$65K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
2,871 |
2,185 |
$45K |
| H0033 |
Oral medication administration, direct observation |
2,830 |
175 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
871 |
848 |
$41K |
| 90734 |
|
1,890 |
1,885 |
$29K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
3,119 |
2,676 |
$25K |
| 90633 |
|
2,313 |
2,313 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
236 |
235 |
$21K |
| 90713 |
|
2,013 |
2,010 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
346 |
$18K |
| 90739 |
|
123 |
122 |
$17K |
| J3490 |
Unclassified drugs |
366 |
334 |
$16K |
| 90686 |
|
1,757 |
1,753 |
$16K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
3,973 |
3,892 |
$14K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,740 |
2,427 |
$14K |
| 90670 |
|
1,093 |
1,092 |
$14K |
| 90744 |
|
1,160 |
1,159 |
$10K |
| 90710 |
|
1,049 |
1,047 |
$9K |
| 90723 |
|
1,008 |
1,008 |
$9K |
| 90648 |
|
1,026 |
1,026 |
$9K |
| 99383 |
|
53 |
53 |
$8K |
| 81025 |
|
2,644 |
2,562 |
$7K |
| 90700 |
|
607 |
607 |
$6K |
| 90619 |
|
416 |
416 |
$5K |
| 90688 |
|
546 |
534 |
$5K |
| 90696 |
|
394 |
394 |
$4K |
| 99188 |
|
177 |
174 |
$3K |
| 90746 |
|
70 |
70 |
$3K |
| 99000 |
|
552 |
528 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
148 |
148 |
$2K |
| 99201 |
|
76 |
76 |
$2K |
| 99382 |
|
12 |
12 |
$2K |
| 92552 |
|
126 |
126 |
$2K |
| 99070 |
|
144 |
133 |
$1K |
| 90691 |
|
15 |
15 |
$1K |
| 90636 |
|
14 |
13 |
$1K |
| 90632 |
|
26 |
26 |
$987.53 |
| 90714 |
|
95 |
95 |
$855.00 |
| 81002 |
|
412 |
394 |
$851.76 |
| 86780 |
|
229 |
228 |
$541.19 |
| 90620 |
|
14 |
14 |
$490.00 |
| 90680 |
|
53 |
53 |
$477.00 |
| 90685 |
|
37 |
37 |
$333.00 |
| 86580 |
|
93 |
91 |
$312.09 |
| 90697 |
|
19 |
19 |
$221.62 |
| 92551 |
|
15 |
15 |
$185.73 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
236 |
235 |
$151.84 |
| 90677 |
|
14 |
13 |
$126.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
236 |
234 |
$0.00 |