| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,163 |
1,042 |
$18K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,030 |
1,008 |
$15K |
| 86780 |
|
714 |
694 |
$12K |
| 87535 |
|
675 |
661 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
329 |
324 |
$10K |
| 0001A |
|
285 |
285 |
$10K |
| 0002A |
|
234 |
234 |
$9K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
28 |
24 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
252 |
244 |
$6K |
| 86702 |
|
675 |
661 |
$4K |
| 0003A |
|
107 |
107 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$3K |
| 86701 |
|
681 |
667 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
610 |
567 |
$3K |
| 87116 |
|
350 |
188 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
315 |
311 |
$2K |
| 86593 |
|
671 |
656 |
$2K |
| 80076 |
|
432 |
394 |
$2K |
| 86592 |
|
677 |
658 |
$2K |
| 86480 |
|
28 |
28 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
25 |
$1K |
| 0250 |
|
358 |
333 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
79 |
$905.75 |
| 0004A |
|
17 |
17 |
$680.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,329 |
1,254 |
$555.62 |
| 86481 |
|
13 |
13 |
$539.38 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$426.43 |
| 0510 |
|
12 |
12 |
$282.36 |
| 86580 |
|
12 |
12 |
$33.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$13.34 |