| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
1,231,883 |
1,208,578 |
$5.91M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
8,223 |
4,474 |
$140K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,268 |
4,422 |
$114K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,022 |
3,317 |
$98K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,762 |
2,893 |
$75K |
| T1002 |
Rn services, up to 15 minutes |
2,198 |
1,761 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,768 |
4,388 |
$62K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
4,043 |
3,244 |
$59K |
| 81025 |
|
3,150 |
2,605 |
$21K |
| 90716 |
|
433 |
335 |
$20K |
| 86592 |
|
5,085 |
4,230 |
$18K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,494 |
1,186 |
$17K |
| 90651 |
|
803 |
621 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,590 |
4,590 |
$12K |
| 86480 |
|
176 |
133 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
5,387 |
4,442 |
$4K |
| 87210 |
|
2,017 |
1,671 |
$3K |
| 90734 |
|
1,264 |
880 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
24 |
$3K |
| 90715 |
|
1,462 |
1,094 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$786.60 |
| 86580 |
|
136 |
126 |
$749.06 |
| S9442 |
Birthing classes, non-physician provider, per session |
32 |
15 |
$547.47 |
| 90713 |
|
166 |
128 |
$388.26 |
| 90619 |
|
636 |
494 |
$320.00 |
| 90714 |
|
39 |
26 |
$267.23 |
| 90707 |
|
14 |
13 |
$264.12 |
| 90633 |
|
442 |
392 |
$240.00 |
| 87806 |
|
21 |
21 |
$210.53 |
| 86705 |
|
126 |
112 |
$74.80 |
| 86704 |
|
89 |
86 |
$74.00 |
| 86706 |
|
129 |
115 |
$68.30 |
| 83655 |
|
63 |
40 |
$61.56 |
| 87340 |
|
130 |
116 |
$59.15 |
| 81002 |
|
15 |
13 |
$20.65 |
| LU100 |
|
320 |
313 |
$0.00 |
| 90710 |
|
139 |
123 |
$0.00 |
| 86787 |
|
19 |
17 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 99000 |
|
3,324 |
2,513 |
$0.00 |
| 90688 |
|
147 |
135 |
$0.00 |
| 86803 |
|
120 |
88 |
$0.00 |
| 90686 |
|
322 |
217 |
$0.00 |
| 90620 |
|
161 |
91 |
$0.00 |
| 90636 |
|
19 |
17 |
$0.00 |
| 90744 |
|
14 |
12 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |