| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,694 |
2,525 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,439 |
1,358 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,270 |
3,094 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,127 |
1,719 |
$73K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,571 |
1,275 |
$69K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,593 |
1,294 |
$69K |
| 99201 |
|
1,701 |
1,520 |
$59K |
| 90461 |
|
1,086 |
1,025 |
$54K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,101 |
985 |
$24K |
| 90651 |
|
766 |
711 |
$11K |
| 90688 |
|
1,511 |
1,384 |
$11K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
269 |
237 |
$11K |
| 0012A |
|
351 |
341 |
$9K |
| 0011A |
|
341 |
331 |
$9K |
| 90632 |
|
146 |
141 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
441 |
392 |
$7K |
| 0001A |
|
181 |
174 |
$7K |
| 0031A |
|
175 |
170 |
$6K |
| 90713 |
|
340 |
320 |
$6K |
| 0002A |
|
147 |
145 |
$5K |
| 90715 |
|
292 |
276 |
$5K |
| 90480 |
|
166 |
158 |
$5K |
| 90716 |
|
54 |
49 |
$5K |
| 90633 |
|
1,244 |
1,172 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
37 |
$3K |
| 86580 |
|
537 |
465 |
$3K |
| A4267 |
Contraceptive supply, condom, male, each |
1,223 |
1,041 |
$3K |
| 90734 |
|
326 |
299 |
$3K |
| 91322 |
|
60 |
60 |
$2K |
| 91320 |
|
53 |
48 |
$2K |
| D1206 |
Topical application of fluoride varnish |
106 |
106 |
$2K |
| 81025 |
|
1,415 |
1,224 |
$2K |
| 90746 |
|
31 |
25 |
$2K |
| 90620 |
|
173 |
163 |
$1K |
| 0124A |
|
31 |
31 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
13 |
$1K |
| 0064A |
|
114 |
97 |
$1K |
| 92551 |
|
115 |
111 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
12 |
$1K |
| 83986 |
|
191 |
180 |
$844.90 |
| 82465 |
|
137 |
127 |
$771.00 |
| 82120 |
|
152 |
141 |
$679.15 |
| 36416 |
|
490 |
477 |
$619.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$587.86 |
| 36415 |
Collection of venous blood by venipuncture |
543 |
485 |
$540.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
51 |
45 |
$538.20 |
| 86780 |
|
59 |
55 |
$460.75 |
| 82962 |
|
147 |
136 |
$448.76 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
89 |
87 |
$406.87 |
| 85018 |
|
294 |
258 |
$374.68 |
| 90694 |
|
95 |
93 |
$297.00 |
| 90658 |
|
24 |
24 |
$276.00 |
| 90656 |
|
38 |
38 |
$202.40 |
| 99173 |
|
64 |
63 |
$115.92 |
| 81002 |
|
93 |
82 |
$75.90 |
| 87210 |
|
17 |
13 |
$61.80 |
| 90744 |
|
12 |
12 |
$55.20 |
| 90710 |
|
25 |
25 |
$36.80 |
| 90723 |
|
17 |
13 |
$36.80 |
| G0008 |
Administration of influenza virus vaccine |
501 |
480 |
$15.62 |
| 90662 |
|
168 |
165 |
$0.00 |
| 90653 |
|
51 |
50 |
$0.00 |
| 888888 |
|
28 |
28 |
$0.00 |
| 91301 |
|
256 |
252 |
$0.00 |
| 0134A |
|
63 |
62 |
$0.00 |
| 91303 |
|
54 |
53 |
$0.00 |