| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
3,166 |
2,882 |
$250K |
| S5170 |
Home delivered meals, including preparation; per meal |
21,884 |
1,032 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,958 |
1,776 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,445 |
1,379 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
787 |
733 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,184 |
2,163 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,345 |
3,314 |
$31K |
| 83655 |
|
2,201 |
2,201 |
$28K |
| V5008 |
Hearing screening |
2,811 |
2,800 |
$21K |
| 99172 |
|
2,066 |
2,056 |
$15K |
| 0001A |
|
382 |
380 |
$12K |
| 0002A |
|
310 |
309 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,428 |
1,419 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
309 |
304 |
$7K |
| 90651 |
|
391 |
387 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
834 |
813 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
317 |
311 |
$7K |
| 36416 |
|
451 |
451 |
$4K |
| 90686 |
|
584 |
584 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
244 |
231 |
$3K |
| H2000 |
Comprehensive multidisciplinary evaluation |
24 |
24 |
$3K |
| 80305 |
|
242 |
223 |
$2K |
| D0190 |
|
133 |
133 |
$2K |
| 91320 |
|
21 |
21 |
$2K |
| 0003A |
|
48 |
48 |
$2K |
| 90715 |
|
513 |
513 |
$2K |
| 0071A |
|
41 |
41 |
$1K |
| 85018 |
|
653 |
653 |
$1K |
| 0072A |
|
41 |
41 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
97 |
94 |
$1K |
| 99188 |
|
133 |
133 |
$914.76 |
| 99408 |
|
68 |
68 |
$885.53 |
| 90632 |
|
12 |
12 |
$703.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$684.24 |
| 90734 |
|
479 |
478 |
$644.25 |
| 81025 |
|
105 |
100 |
$632.12 |
| 90480 |
|
16 |
16 |
$519.74 |
| 86803 |
|
64 |
63 |
$509.02 |
| 96127 |
|
183 |
178 |
$388.03 |
| 87340 |
|
63 |
62 |
$378.85 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
595 |
588 |
$267.76 |
| 90656 |
|
35 |
35 |
$198.57 |
| 90670 |
|
154 |
153 |
$182.43 |
| 0011A |
|
12 |
12 |
$175.45 |
| 86592 |
|
64 |
63 |
$155.67 |
| 90647 |
|
42 |
42 |
$0.00 |
| 91307 |
|
107 |
95 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
74 |
74 |
$0.00 |
| 91301 |
|
18 |
18 |
$0.00 |
| 90619 |
|
92 |
92 |
$0.00 |
| 90723 |
|
38 |
38 |
$0.00 |
| 90710 |
|
61 |
61 |
$0.00 |
| 90633 |
|
142 |
142 |
$0.00 |
| 91300 |
|
775 |
732 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
518 |
489 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |