| Code | Description | Claims | Beneficiaries | Total Paid |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
35,290 |
25,762 |
$884K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
35,263 |
25,761 |
$884K |
| 86703 |
|
27,929 |
24,210 |
$211K |
| 86780 |
|
17,986 |
15,260 |
$171K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24,705 |
15,764 |
$153K |
| 86318 |
|
10,858 |
9,601 |
$82K |
| T1001 |
Nursing assessment / evaluation |
6,711 |
4,673 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
840 |
741 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,253 |
1,002 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
238 |
215 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
368 |
348 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
218 |
175 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
67 |
$5K |
| 86803 |
|
532 |
472 |
$4K |
| 99385 |
|
168 |
120 |
$4K |
| 87210 |
|
1,142 |
993 |
$3K |
| 86592 |
|
994 |
811 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
47 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
856 |
353 |
$3K |
| 11982 |
|
38 |
37 |
$2K |
| 81025 |
|
644 |
573 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
9,664 |
2,988 |
$2K |
| 90636 |
|
265 |
59 |
$2K |
| 86593 |
|
450 |
367 |
$2K |
| 99384 |
|
18 |
18 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
29 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
199 |
97 |
$849.09 |
| 88142 |
|
2,220 |
2,076 |
$725.88 |
| 90688 |
|
152 |
60 |
$555.76 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
18 |
18 |
$391.00 |
| 86701 |
|
32 |
32 |
$212.10 |
| A4267 |
Contraceptive supply, condom, male, each |
1,687 |
842 |
$104.34 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
499 |
482 |
$0.00 |
| 90632 |
|
13 |
12 |
$0.00 |