| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
264,110 |
236,379 |
$1.41M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
866 |
632 |
$62K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
960 |
844 |
$29K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,600 |
1,418 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,664 |
1,319 |
$20K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
472 |
374 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
115 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
42 |
$5K |
| 81025 |
|
548 |
474 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
25 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,132 |
1,002 |
$3K |
| 87210 |
|
598 |
544 |
$3K |
| 82120 |
|
583 |
529 |
$3K |
| 96127 |
|
134 |
118 |
$2K |
| 0001A |
|
32 |
30 |
$2K |
| 0011A |
|
96 |
71 |
$1K |
| 85018 |
|
766 |
656 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$1K |
| 0002A |
|
15 |
14 |
$910.00 |
| 90686 |
|
183 |
148 |
$713.65 |
| 90715 |
|
177 |
145 |
$502.00 |
| 90619 |
|
263 |
218 |
$475.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
41 |
$430.36 |
| 92551 |
|
344 |
272 |
$378.08 |
| 90734 |
|
137 |
84 |
$357.24 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
842 |
769 |
$154.02 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
841 |
769 |
$154.02 |
| 96160 |
|
64 |
58 |
$127.16 |
| 99173 |
|
409 |
329 |
$111.97 |
| 90656 |
|
15 |
14 |
$111.48 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
374 |
354 |
$89.76 |
| 86592 |
|
368 |
348 |
$15.94 |
| 3078F |
|
35 |
34 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
12 |
12 |
$0.00 |
| 91300 |
|
49 |
46 |
$0.00 |
| 3074F |
|
35 |
34 |
$0.00 |
| 99000 |
|
1,212 |
1,072 |
$0.00 |
| 91301 |
|
78 |
68 |
$0.00 |