| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,910 |
4,062 |
$133K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,930 |
4,073 |
$132K |
| H0033 |
Oral medication administration, direct observation |
3,614 |
282 |
$129K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,615 |
3,297 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,491 |
1,417 |
$77K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,039 |
954 |
$28K |
| 87806 |
|
919 |
892 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
118 |
114 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
3,870 |
3,669 |
$14K |
| 86803 |
|
808 |
758 |
$9K |
| T1015 |
Clinic visit/encounter, all-inclusive |
770 |
686 |
$9K |
| 86592 |
|
2,216 |
2,121 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
106 |
$7K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
665 |
574 |
$5K |
| 86703 |
|
400 |
363 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
184 |
179 |
$4K |
| T1016 |
Case management, each 15 minutes |
181 |
176 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
55 |
53 |
$4K |
| 99442 |
|
65 |
59 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
290 |
281 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
65 |
51 |
$2K |
| J3490 |
Unclassified drugs |
133 |
113 |
$2K |
| 87210 |
|
435 |
421 |
$1K |
| 99441 |
|
48 |
43 |
$1K |
| 90686 |
|
72 |
72 |
$525.85 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
79 |
78 |
$324.00 |
| 90651 |
|
12 |
12 |
$243.60 |
| 90716 |
|
27 |
27 |
$145.03 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$102.23 |
| 90715 |
|
14 |
14 |
$75.72 |
| 83986 |
|
13 |
13 |
$44.66 |
| 90713 |
|
13 |
13 |
$0.00 |
| 99201 |
|
13 |
13 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |