| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90461 |
|
6,600 |
6,334 |
$417K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,905 |
9,476 |
$410K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,672 |
3,351 |
$194K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,359 |
3,055 |
$133K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,348 |
3,040 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,763 |
2,559 |
$99K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
520 |
498 |
$40K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
808 |
774 |
$35K |
| 99201 |
|
852 |
814 |
$30K |
| 0011A |
|
1,141 |
1,122 |
$26K |
| 0012A |
|
874 |
859 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
382 |
352 |
$21K |
| 99383 |
|
239 |
230 |
$17K |
| 83655 |
|
930 |
884 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
864 |
786 |
$14K |
| 90651 |
|
1,643 |
1,598 |
$12K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
2,701 |
2,472 |
$11K |
| 90734 |
|
1,377 |
1,340 |
$7K |
| 0013A |
|
329 |
312 |
$7K |
| 99385 |
|
84 |
68 |
$6K |
| 92551 |
|
643 |
621 |
$6K |
| 0001A |
|
231 |
222 |
$6K |
| 82120 |
|
1,171 |
1,082 |
$6K |
| 99384 |
|
64 |
62 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
272 |
255 |
$5K |
| 86580 |
|
796 |
702 |
$5K |
| 86780 |
|
613 |
554 |
$5K |
| 90686 |
|
1,169 |
1,139 |
$4K |
| 90670 |
|
3,021 |
2,873 |
$4K |
| 86703 |
|
255 |
211 |
$3K |
| 90633 |
|
2,802 |
2,705 |
$3K |
| 0002A |
|
118 |
115 |
$3K |
| 91322 |
|
104 |
97 |
$2K |
| 99173 |
|
811 |
793 |
$2K |
| 81025 |
|
593 |
538 |
$2K |
| 90723 |
|
1,558 |
1,457 |
$2K |
| 90710 |
|
1,375 |
1,334 |
$2K |
| 90619 |
|
683 |
667 |
$2K |
| 82962 |
|
494 |
477 |
$2K |
| 90715 |
|
846 |
822 |
$1K |
| 90620 |
|
367 |
361 |
$1K |
| 90647 |
|
1,067 |
991 |
$1K |
| 90698 |
|
1,197 |
1,171 |
$1K |
| 90681 |
|
603 |
569 |
$846.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
48 |
42 |
$837.34 |
| 90480 |
|
97 |
93 |
$772.81 |
| 90696 |
|
769 |
747 |
$699.20 |
| 90677 |
|
326 |
321 |
$641.04 |
| 90674 |
|
84 |
80 |
$577.20 |
| 85018 |
|
223 |
212 |
$555.61 |
| 90697 |
|
482 |
475 |
$428.50 |
| 90716 |
|
283 |
273 |
$393.96 |
| 90671 |
|
162 |
160 |
$393.40 |
| 90707 |
|
321 |
311 |
$353.93 |
| 90744 |
|
369 |
362 |
$334.50 |
| 0134A |
|
32 |
31 |
$323.00 |
| 90648 |
|
232 |
221 |
$312.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$159.67 |
| 36415 |
Collection of venous blood by venipuncture |
145 |
108 |
$95.25 |
| A4267 |
Contraceptive supply, condom, male, each |
27 |
27 |
$81.00 |
| 90661 |
|
25 |
25 |
$61.98 |
| 90685 |
|
82 |
80 |
$55.20 |
| 36416 |
|
135 |
129 |
$40.17 |
| 90700 |
|
69 |
65 |
$18.40 |
| 91301 |
|
2,462 |
2,351 |
$1.39 |
| 91300 |
|
435 |
391 |
$0.46 |
| 91313 |
|
32 |
31 |
$0.02 |
| 2000F |
|
2,120 |
2,025 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |
| 0054A |
|
15 |
15 |
$0.00 |
| S0613 |
Annual gynecological examination; clinical breast examination without pelvic evaluation |
25 |
24 |
$0.00 |