| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
44,738 |
42,991 |
$227K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,974 |
2,302 |
$103K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,766 |
3,086 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,069 |
856 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
402 |
333 |
$15K |
| 0011A |
|
238 |
195 |
$10K |
| 0012A |
|
179 |
160 |
$8K |
| 0002A |
|
184 |
121 |
$7K |
| 0001A |
|
188 |
110 |
$7K |
| 90734 |
|
537 |
428 |
$7K |
| 90651 |
|
228 |
164 |
$3K |
| 0071A |
|
69 |
49 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
53 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
24 |
$3K |
| 0064A |
|
47 |
34 |
$3K |
| 0072A |
|
47 |
31 |
$2K |
| 90715 |
|
302 |
240 |
$2K |
| 99201 |
|
13 |
13 |
$768.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
13 |
$553.70 |
| 81025 |
|
75 |
53 |
$385.92 |
| 90649 |
|
24 |
24 |
$268.74 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18 |
15 |
$258.06 |
| 90686 |
|
1,752 |
1,469 |
$255.79 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
14 |
$143.15 |
| 91301 |
|
523 |
410 |
$0.05 |
| 91300 |
|
418 |
219 |
$0.02 |
| 99000 |
|
2,624 |
2,010 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
131 |
107 |
$0.00 |
| 91307 |
|
135 |
85 |
$0.00 |
| 90656 |
|
152 |
134 |
$0.00 |
| 91306 |
|
47 |
34 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$0.00 |
| 90633 |
|
26 |
12 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |