| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
343,108 |
281,740 |
$1.80M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,361 |
$104K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,203 |
1,063 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,665 |
1,416 |
$21K |
| 0012A |
|
455 |
387 |
$21K |
| 0011A |
|
538 |
481 |
$19K |
| 0002A |
|
331 |
277 |
$14K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
233 |
222 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
462 |
379 |
$12K |
| 0001A |
|
369 |
312 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
111 |
93 |
$7K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
800 |
731 |
$7K |
| 0064A |
|
108 |
89 |
$5K |
| 0071A |
|
96 |
78 |
$4K |
| 0072A |
|
95 |
78 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,773 |
1,563 |
$4K |
| 87210 |
|
337 |
295 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
124 |
90 |
$1K |
| 82120 |
|
341 |
297 |
$977.94 |
| 0003A |
|
15 |
13 |
$715.00 |
| 96127 |
|
138 |
129 |
$532.80 |
| 90620 |
|
30 |
26 |
$416.89 |
| 81025 |
|
54 |
54 |
$377.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
39 |
$358.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$349.68 |
| 90686 |
|
253 |
203 |
$280.84 |
| 90715 |
|
111 |
85 |
$186.52 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
126 |
90 |
$51.31 |
| 86689 |
|
213 |
207 |
$49.24 |
| 81002 |
|
15 |
13 |
$45.50 |
| 86592 |
|
212 |
208 |
$10.84 |
| 90734 |
|
171 |
128 |
$0.50 |
| 99000 |
|
2,647 |
2,196 |
$0.00 |
| 92551 |
|
91 |
84 |
$0.00 |
| 91306 |
|
109 |
89 |
$0.00 |
| 91301 |
|
1,040 |
893 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
219 |
206 |
$0.00 |
| 91307 |
|
223 |
160 |
$0.00 |
| 85027 |
|
13 |
13 |
$0.00 |
| 86901 |
|
13 |
13 |
$0.00 |
| 90733 |
|
21 |
21 |
$0.00 |
| 86850 |
|
13 |
13 |
$0.00 |
| 90651 |
|
35 |
24 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
220 |
206 |
$0.00 |
| 99173 |
|
123 |
113 |
$0.00 |
| 91300 |
|
736 |
590 |
$0.00 |
| 86900 |
|
13 |
13 |
$0.00 |
| 87999 |
|
12 |
12 |
$0.00 |