| Code | Description | Claims | Beneficiaries | Total Paid |
| T1029 |
Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling |
306 |
294 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,678 |
2,526 |
$35K |
| 90686 |
|
1,077 |
1,019 |
$10K |
| T1002 |
Rn services, up to 15 minutes |
81 |
69 |
$7K |
| 90715 |
|
610 |
579 |
$4K |
| 91322 |
|
21 |
21 |
$3K |
| 90716 |
|
495 |
466 |
$3K |
| 90707 |
|
422 |
402 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
422 |
338 |
$2K |
| 90713 |
|
400 |
382 |
$2K |
| 90651 |
|
466 |
432 |
$2K |
| 90734 |
|
326 |
312 |
$2K |
| 90633 |
|
329 |
317 |
$1K |
| 90656 |
|
115 |
115 |
$1K |
| 90700 |
|
204 |
199 |
$895.99 |
| 99402 |
|
47 |
26 |
$891.59 |
| 90672 |
|
27 |
27 |
$784.94 |
| 90619 |
|
29 |
29 |
$420.00 |
| 90744 |
|
74 |
68 |
$347.03 |
| 90670 |
|
63 |
62 |
$282.54 |
| 90723 |
|
44 |
42 |
$172.61 |
| 99000 |
|
40 |
38 |
$145.18 |
| 99401 |
|
13 |
12 |
$113.76 |
| 90756 |
|
32 |
32 |
$104.26 |
| 90647 |
|
14 |
14 |
$61.48 |
| 81025 |
|
49 |
35 |
$17.22 |
| 87077 |
|
35 |
31 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
303 |
205 |
$0.00 |
| 86780 |
|
209 |
141 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
33 |
26 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
219 |
149 |
$0.00 |
| 87205 |
|
81 |
27 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
319 |
209 |
$0.00 |
| 87081 |
|
46 |
24 |
$0.00 |
| 86592 |
|
35 |
23 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
19 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
326 |
210 |
$0.00 |
| H1010 |
Non-medical family planning education, per session |
155 |
88 |
$0.00 |
| 87563 |
|
62 |
50 |
$0.00 |
| S5001 |
Prescription drug, brand name |
41 |
36 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
34 |
25 |
$0.00 |
| A4268 |
Contraceptive supply, condom, female, each |
26 |
21 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
120 |
79 |
$0.00 |
| S5000 |
Prescription drug, generic |
28 |
21 |
$0.00 |
| 87210 |
|
86 |
22 |
$0.00 |