| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42,437 |
21,897 |
$376K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32,062 |
31,410 |
$337K |
| 90707 |
|
4,402 |
4,356 |
$53K |
| 90746 |
|
886 |
862 |
$49K |
| 90715 |
|
9,426 |
9,323 |
$39K |
| 90716 |
|
5,181 |
5,128 |
$32K |
| 99383 |
|
350 |
339 |
$29K |
| 99385 |
|
368 |
355 |
$25K |
| 90713 |
|
4,589 |
4,542 |
$22K |
| 91320 |
|
198 |
197 |
$21K |
| 90651 |
|
4,369 |
4,330 |
$18K |
| 90480 |
|
1,047 |
1,036 |
$18K |
| 0001A |
|
751 |
747 |
$15K |
| 0002A |
|
637 |
633 |
$14K |
| 0012A |
|
648 |
646 |
$13K |
| 90619 |
|
6,200 |
6,146 |
$12K |
| 90714 |
|
993 |
980 |
$11K |
| 0011A |
|
737 |
733 |
$11K |
| 90686 |
|
3,531 |
3,473 |
$11K |
| 81025 |
|
1,521 |
1,482 |
$10K |
| 99384 |
|
110 |
108 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
481 |
236 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
479 |
235 |
$9K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
248 |
116 |
$8K |
| 90734 |
|
3,381 |
3,370 |
$8K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
183 |
159 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
351 |
342 |
$5K |
| 90688 |
|
412 |
411 |
$4K |
| 99382 |
|
47 |
44 |
$4K |
| 86780 |
|
437 |
278 |
$3K |
| 90656 |
|
630 |
628 |
$3K |
| 90474 |
|
392 |
352 |
$3K |
| 91322 |
|
151 |
151 |
$2K |
| 86481 |
|
26 |
26 |
$1K |
| 99386 |
|
13 |
13 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
65 |
64 |
$1K |
| 90759 |
|
14 |
14 |
$973.56 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
30 |
$694.36 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
47 |
46 |
$674.26 |
| 90632 |
|
15 |
15 |
$651.96 |
| 90670 |
|
1,562 |
1,555 |
$635.83 |
| 90677 |
|
595 |
574 |
$530.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$496.66 |
| 87210 |
|
124 |
124 |
$444.99 |
| 86704 |
|
30 |
30 |
$325.00 |
| 90756 |
|
27 |
27 |
$325.00 |
| 86706 |
|
30 |
30 |
$289.64 |
| 90658 |
|
257 |
256 |
$256.30 |
| 83655 |
|
13 |
13 |
$163.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
30 |
$120.90 |
| 87340 |
|
30 |
30 |
$115.78 |
| 86593 |
|
81 |
81 |
$109.48 |
| 86803 |
|
15 |
15 |
$82.44 |
| 83986 |
|
98 |
98 |
$76.69 |
| 90662 |
|
12 |
12 |
$54.58 |
| 80053 |
Comprehensive metabolic panel |
30 |
30 |
$39.18 |
| 36415 |
Collection of venous blood by venipuncture |
1,929 |
1,894 |
$1.17 |
| 90696 |
|
2,345 |
2,335 |
$0.00 |
| 90744 |
|
2,088 |
2,067 |
$0.00 |
| T1002 |
Rn services, up to 15 minutes |
59 |
59 |
$0.00 |
| 90697 |
|
601 |
587 |
$0.00 |
| 90698 |
|
608 |
602 |
$0.00 |
| 90723 |
|
815 |
813 |
$0.00 |
| 91301 |
|
1,394 |
1,362 |
$0.00 |
| 90620 |
|
223 |
223 |
$0.00 |
| 90680 |
|
313 |
308 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
50 |
50 |
$0.00 |
| 91319 |
|
82 |
82 |
$0.00 |
| 99000 |
|
30 |
30 |
$0.00 |
| 90633 |
|
7,630 |
7,536 |
$0.00 |
| 91321 |
|
311 |
309 |
$0.00 |
| 90700 |
|
2,472 |
2,452 |
$0.00 |
| 90648 |
|
764 |
761 |
$0.00 |
| 90710 |
|
2,731 |
2,714 |
$0.00 |
| 91300 |
|
1,398 |
1,221 |
$0.00 |
| T1003 |
Lpn/lvn services, up to 15 minutes |
54 |
54 |
$0.00 |
| 90671 |
|
172 |
171 |
$0.00 |
| 90661 |
|
40 |
40 |
$0.00 |
| 86703 |
|
39 |
39 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |