| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
298 |
273 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
797 |
647 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
346 |
285 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
43 |
$4K |
| 91322 |
|
106 |
83 |
$940.80 |
| 91320 |
|
156 |
98 |
$861.54 |
| 90686 |
|
152 |
135 |
$620.61 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
129 |
$501.77 |
| 90480 |
|
264 |
184 |
$442.50 |
| 87902 |
|
32 |
30 |
$257.45 |
| 90656 |
|
24 |
22 |
$216.86 |
| 99401 |
|
16 |
12 |
$210.00 |
| 36416 |
|
72 |
55 |
$201.10 |
| 86703 |
|
74 |
58 |
$178.23 |
| 90662 |
|
45 |
34 |
$143.19 |
| 86803 |
|
57 |
45 |
$142.70 |
| 86780 |
|
213 |
180 |
$132.40 |
| 90734 |
|
88 |
82 |
$107.91 |
| 90715 |
|
63 |
60 |
$75.52 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
121 |
105 |
$48.16 |
| 80074 |
|
48 |
44 |
$47.63 |
| 87522 |
Neg quan hep c or qual rna |
62 |
58 |
$42.84 |
| 80053 |
Comprehensive metabolic panel |
76 |
70 |
$10.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65 |
60 |
$7.77 |
| 81596 |
|
32 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
91 |
78 |
$0.00 |
| 90651 |
|
18 |
17 |
$0.00 |
| 90723 |
|
33 |
28 |
$0.00 |
| 86592 |
|
40 |
29 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
138 |
89 |
$0.00 |
| 90620 |
|
19 |
16 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
21 |
15 |
$0.00 |
| 90648 |
|
33 |
28 |
$0.00 |
| 90670 |
|
34 |
29 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
21 |
15 |
$0.00 |
| 85610 |
|
35 |
33 |
$0.00 |