| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
3,987,351 |
3,953,539 |
$20.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,026 |
3,577 |
$416K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,839 |
11,508 |
$360K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23,364 |
17,813 |
$290K |
| 99502 |
|
3,662 |
2,903 |
$189K |
| 99501 |
|
4,035 |
3,104 |
$185K |
| 90651 |
|
5,331 |
4,245 |
$169K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,455 |
3,275 |
$108K |
| 90716 |
|
2,599 |
2,016 |
$104K |
| 90734 |
|
4,065 |
3,147 |
$68K |
| 90746 |
|
1,476 |
1,103 |
$53K |
| 90620 |
|
2,499 |
1,966 |
$52K |
| 90707 |
|
1,288 |
1,004 |
$47K |
| 90715 |
|
4,769 |
3,750 |
$35K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,765 |
2,172 |
$32K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,735 |
2,157 |
$31K |
| 87210 |
|
11,479 |
7,873 |
$30K |
| 91320 |
|
598 |
487 |
$29K |
| 90480 |
|
863 |
707 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
95 |
$23K |
| 90632 |
|
564 |
379 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
348 |
260 |
$20K |
| 90710 |
|
1,740 |
1,398 |
$20K |
| T1002 |
Rn services, up to 15 minutes |
688 |
531 |
$19K |
| 90714 |
|
1,908 |
1,378 |
$17K |
| 90686 |
|
6,640 |
4,660 |
$15K |
| 90713 |
|
2,232 |
1,804 |
$13K |
| 90670 |
|
979 |
824 |
$12K |
| 81025 |
|
1,899 |
1,401 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
82 |
70 |
$11K |
| 87205 |
|
6,335 |
4,738 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
6,857 |
5,280 |
$9K |
| 90633 |
|
4,296 |
3,410 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
38 |
$5K |
| 86592 |
|
2,184 |
1,699 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,980 |
1,627 |
$3K |
| 86580 |
|
823 |
760 |
$3K |
| 90656 |
|
249 |
246 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
313 |
205 |
$3K |
| 90744 |
|
1,476 |
1,153 |
$3K |
| 90619 |
|
1,267 |
1,081 |
$3K |
| 99385 |
|
15 |
14 |
$2K |
| 90696 |
|
627 |
510 |
$2K |
| 90698 |
|
410 |
344 |
$1K |
| 90674 |
|
650 |
475 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
77 |
69 |
$1K |
| 0124A |
|
21 |
13 |
$975.00 |
| 87177 |
|
132 |
97 |
$882.18 |
| 90661 |
|
285 |
278 |
$850.66 |
| 86480 |
|
38 |
23 |
$780.00 |
| 90474 |
|
68 |
45 |
$603.24 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
73 |
62 |
$596.80 |
| 87081 |
|
174 |
134 |
$542.42 |
| 90723 |
|
95 |
66 |
$513.05 |
| 0001A |
|
76 |
70 |
$508.20 |
| 86481 |
|
18 |
16 |
$480.00 |
| 85018 |
|
165 |
105 |
$288.72 |
| 90671 |
|
183 |
148 |
$224.04 |
| 91318 |
|
31 |
31 |
$173.23 |
| 99441 |
|
22 |
17 |
$159.24 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
594 |
404 |
$159.15 |
| A4267 |
Contraceptive supply, condom, male, each |
2,285 |
1,798 |
$150.49 |
| 90700 |
|
283 |
234 |
$113.42 |
| 81003 |
|
47 |
44 |
$108.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$105.00 |
| 91319 |
|
102 |
101 |
$77.00 |
| 90672 |
|
61 |
36 |
$47.28 |
| 90756 |
|
17 |
12 |
$21.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
30 |
$11.24 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,005 |
797 |
$0.00 |
| 90685 |
|
172 |
151 |
$0.00 |
| 91312 |
|
20 |
12 |
$0.00 |
| 91300 |
|
70 |
66 |
$0.00 |
| 99000 |
|
1,860 |
1,574 |
$0.00 |
| 90647 |
|
14 |
12 |
$0.00 |
| 90680 |
|
19 |
16 |
$0.00 |
| 90688 |
|
135 |
93 |
$0.00 |
| 90697 |
|
16 |
12 |
$0.00 |