| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
130,470 |
107,601 |
$556K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
823 |
401 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,447 |
1,633 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
268 |
183 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
266 |
183 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
80 |
$2K |
| 90674 |
|
522 |
348 |
$2K |
| 90651 |
|
43 |
37 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
658 |
450 |
$1K |
| 90686 |
|
689 |
432 |
$1K |
| 87390 |
|
54 |
40 |
$560.75 |
| 90734 |
|
110 |
84 |
$552.01 |
| 90715 |
|
38 |
33 |
$186.45 |
| 86580 |
|
29 |
24 |
$139.75 |
| 81025 |
|
23 |
12 |
$88.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
33 |
26 |
$71.82 |
| 86592 |
|
16 |
13 |
$65.04 |
| 85018 |
|
74 |
60 |
$60.20 |
| 96127 |
|
35 |
25 |
$13.47 |
| 90756 |
|
52 |
38 |
$0.00 |