| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
74,953 |
72,565 |
$398K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
508 |
396 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
296 |
242 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
87 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
985 |
638 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
292 |
226 |
$6K |
| 0012A |
|
103 |
73 |
$4K |
| 0011A |
|
112 |
77 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
119 |
87 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
874 |
639 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
29 |
$950.75 |
| 0001A |
|
12 |
12 |
$715.00 |
| 90651 |
|
54 |
52 |
$632.14 |
| 90734 |
|
124 |
66 |
$321.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
190 |
152 |
$315.81 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
194 |
153 |
$315.81 |
| 87210 |
|
93 |
71 |
$262.50 |
| 90620 |
|
37 |
33 |
$216.89 |
| 96127 |
|
44 |
36 |
$205.14 |
| 82120 |
|
33 |
29 |
$112.36 |
| 90715 |
|
59 |
41 |
$95.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
12 |
$87.50 |
| 90656 |
|
50 |
50 |
$58.65 |
| 81002 |
|
33 |
24 |
$39.69 |
| 99173 |
|
187 |
120 |
$17.00 |
| 85018 |
|
199 |
116 |
$3.01 |
| 92587 |
|
103 |
78 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
420 |
334 |
$0.00 |
| 90686 |
|
135 |
88 |
$0.00 |
| 91301 |
|
319 |
188 |
$0.00 |
| 86592 |
|
402 |
321 |
$0.00 |
| 90619 |
|
36 |
35 |
$0.00 |
| 91307 |
|
79 |
33 |
$0.00 |
| 36416 |
|
157 |
105 |
$0.00 |
| 99000 |
|
45 |
36 |
$0.00 |
| 86803 |
|
31 |
26 |
$0.00 |
| 87340 |
|
31 |
26 |
$0.00 |
| 90649 |
|
23 |
16 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |