| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
7,531 |
7,451 |
$378K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,399 |
3,296 |
$49K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,151 |
5,861 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
265 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
360 |
357 |
$11K |
| 99201 |
|
441 |
440 |
$9K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
393 |
386 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
186 |
181 |
$5K |
| 90619 |
|
54 |
49 |
$3K |
| 90480 |
|
120 |
108 |
$3K |
| 86580 |
|
369 |
363 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$893.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
42 |
$815.78 |
| 71045 |
Radiologic examination, chest; single view |
51 |
51 |
$759.03 |
| 90651 |
|
662 |
632 |
$746.69 |
| 90632 |
|
187 |
171 |
$605.66 |
| 90688 |
|
1,310 |
1,287 |
$553.97 |
| 90716 |
|
242 |
237 |
$307.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$200.80 |
| 90715 |
|
724 |
700 |
$157.22 |
| 90746 |
|
142 |
139 |
$121.33 |
| 86592 |
|
28 |
28 |
$89.56 |
| 90734 |
|
409 |
392 |
$0.53 |
| 90707 |
|
137 |
132 |
$0.43 |
| 90654 |
|
19 |
19 |
$0.17 |
| 90620 |
|
96 |
93 |
$0.14 |
| 90670 |
|
328 |
327 |
$0.10 |
| 90633 |
|
1,349 |
1,322 |
$0.07 |
| 90713 |
|
456 |
444 |
$0.07 |
| 90697 |
|
24 |
24 |
$0.07 |
| 90744 |
|
252 |
240 |
$0.04 |
| 90710 |
|
499 |
489 |
$0.03 |
| 90658 |
|
71 |
69 |
$0.00 |
| 90700 |
|
63 |
58 |
$0.00 |
| 91321 |
|
33 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
16 |
$0.00 |
| 90696 |
|
134 |
126 |
$0.00 |
| 90723 |
|
46 |
41 |
$0.00 |
| 91319 |
|
32 |
26 |
$0.00 |
| 90656 |
|
202 |
158 |
$0.00 |