| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
36,118 |
36,118 |
$1.38M |
| 0001A |
|
40,559 |
40,557 |
$1.22M |
| 91322 |
|
843 |
842 |
$94K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,447 |
3,940 |
$86K |
| 99385 |
|
619 |
607 |
$79K |
| 0031A |
|
1,558 |
1,558 |
$62K |
| 0012A |
|
1,751 |
1,751 |
$50K |
| 0004A |
|
1,188 |
1,188 |
$48K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,540 |
2,457 |
$44K |
| 0011A |
|
2,028 |
2,028 |
$40K |
| 0003A |
|
910 |
910 |
$36K |
| 90480 |
|
809 |
808 |
$31K |
| 0013A |
|
761 |
761 |
$30K |
| 86803 |
|
2,268 |
2,183 |
$26K |
| 86704 |
|
1,902 |
1,841 |
$18K |
| 90716 |
|
200 |
178 |
$16K |
| 86780 |
|
927 |
878 |
$16K |
| 87340 |
|
1,909 |
1,848 |
$16K |
| 80061 |
Lipid panel |
1,170 |
1,125 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,956 |
1,891 |
$12K |
| 86480 |
|
383 |
327 |
$11K |
| 86702 |
|
1,118 |
1,058 |
$10K |
| 86701 |
|
1,446 |
1,364 |
$9K |
| 0124A |
|
219 |
219 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
311 |
302 |
$9K |
| 99386 |
|
58 |
56 |
$8K |
| 87535 |
|
477 |
417 |
$7K |
| 82947 |
|
2,235 |
2,147 |
$7K |
| 0450 |
Emergency room services |
221 |
206 |
$7K |
| 0134A |
|
119 |
119 |
$5K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
19 |
12 |
$5K |
| 90746 |
|
44 |
44 |
$3K |
| 86481 |
|
59 |
49 |
$3K |
| 90686 |
|
190 |
190 |
$3K |
| 86593 |
|
888 |
843 |
$3K |
| 86592 |
|
885 |
840 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
77 |
75 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
93 |
$2K |
| 99383 |
|
15 |
15 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
229 |
222 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
56 |
53 |
$2K |
| 99442 |
|
147 |
144 |
$2K |
| 99201 |
|
27 |
27 |
$1K |
| 86706 |
|
291 |
231 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
68 |
68 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,287 |
1,167 |
$1K |
| 90707 |
|
15 |
15 |
$1K |
| 90713 |
|
29 |
28 |
$667.35 |
| 90715 |
|
28 |
28 |
$618.79 |
| 0034A |
|
15 |
15 |
$600.00 |
| 86705 |
|
92 |
61 |
$519.44 |
| 99441 |
|
108 |
106 |
$468.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
177 |
$427.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$337.10 |
| 90633 |
|
33 |
33 |
$292.50 |
| 86580 |
|
59 |
57 |
$148.28 |
| 90744 |
|
12 |
12 |
$108.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
28 |
$94.07 |
| 0250 |
|
106 |
97 |
$0.02 |
| 91321 |
|
12 |
12 |
$0.00 |