| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
109,489 |
11,675 |
$18.61M |
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
9,090 |
872 |
$1.57M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,462 |
3,786 |
$626K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,649 |
2,410 |
$480K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
421 |
413 |
$18K |
| 87110 |
|
440 |
435 |
$10K |
| 0002A |
|
157 |
157 |
$5K |
| 99442 |
|
52 |
45 |
$5K |
| 99406 |
|
244 |
204 |
$4K |
| 0001A |
|
207 |
206 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
170 |
169 |
$4K |
| 90656 |
|
136 |
136 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$2K |
| 94760 |
|
472 |
375 |
$2K |
| 81000 |
|
353 |
348 |
$1K |
| 0064A |
|
29 |
29 |
$1K |
| 0013A |
|
26 |
26 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
40 |
$502.40 |
| 36415 |
Collection of venous blood by venipuncture |
159 |
153 |
$477.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$343.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$193.02 |
| 1125F |
|
13 |
12 |
$0.12 |
| 3008F |
|
1,785 |
1,372 |
$0.01 |