| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90651 |
|
5,246 |
2,435 |
$786K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,573 |
7,879 |
$704K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,183 |
5,954 |
$677K |
| 90710 |
|
3,968 |
1,561 |
$532K |
| 90620 |
|
3,243 |
1,009 |
$339K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,630 |
1,363 |
$259K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,087 |
3,930 |
$123K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,087 |
3,930 |
$123K |
| J3490 |
Unclassified drugs |
1,024 |
863 |
$94K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
580 |
556 |
$63K |
| A4267 |
Contraceptive supply, condom, male, each |
6,282 |
6,280 |
$47K |
| Z1034 |
|
643 |
473 |
$35K |
| 86703 |
|
2,701 |
2,543 |
$32K |
| 86328 |
|
800 |
752 |
$32K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,380 |
1,380 |
$28K |
| 86592 |
|
6,109 |
5,926 |
$23K |
| 81025 |
|
5,540 |
5,530 |
$15K |
| Z1032 |
|
87 |
87 |
$14K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
1,080 |
1,080 |
$14K |
| Z6412 |
|
627 |
466 |
$13K |
| Z6410 |
|
491 |
371 |
$11K |
| Z6500 |
|
88 |
88 |
$11K |
| 90621 |
|
78 |
71 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
128 |
128 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
486 |
462 |
$3K |
| 99401 |
|
111 |
111 |
$2K |
| Z6400 |
|
76 |
76 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
60 |
$730.28 |
| 92552 |
|
47 |
47 |
$712.05 |
| 86580 |
|
78 |
61 |
$197.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$126.28 |
| 90649 |
|
13 |
13 |
$18.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
27 |
$0.00 |
| 81002 |
|
55 |
55 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
24 |
$0.00 |