| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99385 |
|
225 |
152 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
381 |
362 |
$8K |
| 90707 |
|
145 |
126 |
$8K |
| 90746 |
|
106 |
93 |
$7K |
| 90715 |
|
219 |
193 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
225 |
175 |
$3K |
| 90688 |
|
191 |
166 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
190 |
145 |
$3K |
| 90716 |
|
20 |
19 |
$2K |
| 86706 |
|
135 |
134 |
$2K |
| 86704 |
|
109 |
108 |
$1K |
| 99386 |
|
19 |
12 |
$1K |
| 87340 |
|
109 |
108 |
$1K |
| 80076 |
|
108 |
107 |
$971.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
126 |
$968.27 |
| 36415 |
Collection of venous blood by venipuncture |
447 |
383 |
$644.56 |
| 90714 |
|
27 |
27 |
$571.74 |
| 81025 |
|
89 |
86 |
$534.63 |
| 86580 |
|
171 |
137 |
$89.57 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
132 |
111 |
$0.00 |
| 86787 |
|
125 |
98 |
$0.00 |
| 86705 |
|
156 |
132 |
$0.00 |
| 86480 |
|
216 |
177 |
$0.00 |