| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,043 |
10,535 |
$426K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,485 |
15,709 |
$301K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,085 |
1,061 |
$41K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
968 |
944 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,173 |
2,013 |
$30K |
| T1001 |
Nursing assessment / evaluation |
892 |
853 |
$26K |
| 90474 |
|
839 |
803 |
$15K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
374 |
366 |
$9K |
| 90651 |
|
2,907 |
2,735 |
$7K |
| 90716 |
|
1,303 |
1,269 |
$7K |
| 90715 |
|
2,424 |
2,294 |
$5K |
| 87390 |
|
446 |
435 |
$4K |
| 86580 |
|
569 |
524 |
$3K |
| 90707 |
|
1,126 |
1,100 |
$3K |
| 90734 |
|
1,951 |
1,933 |
$3K |
| 86592 |
|
531 |
519 |
$3K |
| 90620 |
|
1,071 |
983 |
$2K |
| 90686 |
|
3,779 |
3,537 |
$2K |
| 81025 |
|
269 |
253 |
$2K |
| 87210 |
|
266 |
258 |
$1K |
| 90670 |
|
3,637 |
3,514 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
28 |
$898.48 |
| 99502 |
|
13 |
13 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$267.84 |
| 90671 |
|
141 |
128 |
$242.68 |
| 90713 |
|
678 |
655 |
$80.41 |
| 90744 |
|
428 |
425 |
$42.55 |
| 90647 |
|
1,654 |
1,636 |
$39.00 |
| 90633 |
|
3,266 |
3,140 |
$31.00 |
| 90700 |
|
1,486 |
1,442 |
$21.00 |
| 90658 |
|
392 |
382 |
$15.00 |
| 90710 |
|
1,635 |
1,570 |
$7.00 |
| 90680 |
|
1,673 |
1,633 |
$0.39 |
| 90723 |
|
1,497 |
1,483 |
$0.37 |
| 90698 |
|
535 |
530 |
$0.14 |
| 90619 |
|
1,742 |
1,506 |
$0.08 |
| 90696 |
|
948 |
912 |
$0.04 |
| 90697 |
|
663 |
595 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |