| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
925 |
725 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
481 |
416 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
131 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
87 |
85 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
124 |
112 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
124 |
112 |
$5K |
| 0500F |
|
88 |
67 |
$4K |
| 81025 |
|
635 |
514 |
$3K |
| 87808 |
|
133 |
111 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
72 |
52 |
$1K |
| 59430 |
|
13 |
12 |
$875.74 |
| 90686 |
|
37 |
29 |
$731.57 |
| 88142 |
|
48 |
40 |
$675.64 |
| 76801 |
|
16 |
12 |
$651.42 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$341.22 |
| 87205 |
|
59 |
49 |
$232.33 |
| 81003 |
|
75 |
72 |
$182.67 |
| 81002 |
|
48 |
43 |
$98.80 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
24 |
$24.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |