| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,947 |
2,884 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,645 |
4,524 |
$65K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,339 |
1,224 |
$34K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,329 |
1,221 |
$34K |
| 90651 |
|
758 |
746 |
$7K |
| 90716 |
|
161 |
160 |
$5K |
| 86701 |
|
1,571 |
1,446 |
$5K |
| 86592 |
|
1,566 |
1,441 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
397 |
371 |
$5K |
| 81025 |
|
860 |
768 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
239 |
213 |
$4K |
| T1001 |
Nursing assessment / evaluation |
117 |
114 |
$3K |
| 90734 |
|
643 |
624 |
$3K |
| 90686 |
|
1,417 |
1,385 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
193 |
172 |
$2K |
| 86803 |
|
240 |
203 |
$1K |
| 90715 |
|
368 |
365 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
27 |
$1K |
| 87205 |
|
223 |
207 |
$744.01 |
| 90707 |
|
37 |
37 |
$739.49 |
| 87210 |
|
189 |
174 |
$567.12 |
| 90714 |
|
13 |
12 |
$106.00 |
| 86762 |
|
13 |
13 |
$84.46 |
| 86580 |
|
15 |
14 |
$83.58 |
| 90656 |
|
26 |
26 |
$59.54 |
| 85018 |
|
60 |
54 |
$58.43 |
| 36415 |
Collection of venous blood by venipuncture |
482 |
428 |
$0.00 |
| 90744 |
|
65 |
65 |
$0.00 |
| 90723 |
|
213 |
204 |
$0.00 |
| 90647 |
|
157 |
151 |
$0.00 |
| 90696 |
|
136 |
128 |
$0.00 |
| 90698 |
|
43 |
43 |
$0.00 |
| 90620 |
|
30 |
25 |
$0.00 |
| 90619 |
|
97 |
97 |
$0.00 |
| 90694 |
|
51 |
50 |
$0.00 |
| 90670 |
|
538 |
522 |
$0.00 |
| 90710 |
|
189 |
180 |
$0.00 |
| 90633 |
|
546 |
541 |
$0.00 |
| 90671 |
|
13 |
13 |
$0.00 |
| 90713 |
|
25 |
25 |
$0.00 |