| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
72,613 |
71,457 |
$382K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,926 |
1,669 |
$60K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
503 |
454 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
445 |
352 |
$40K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,524 |
2,132 |
$28K |
| T1002 |
Rn services, up to 15 minutes |
534 |
478 |
$23K |
| 0012A |
|
203 |
169 |
$11K |
| 81025 |
|
1,575 |
1,310 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
874 |
691 |
$11K |
| 0011A |
|
212 |
174 |
$10K |
| 87210 |
|
2,523 |
2,083 |
$10K |
| 82120 |
|
2,220 |
1,798 |
$8K |
| 83986 |
|
2,136 |
1,736 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,618 |
2,148 |
$6K |
| 0071A |
|
196 |
73 |
$5K |
| 0072A |
|
114 |
62 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
199 |
168 |
$4K |
| 0064A |
|
85 |
58 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
246 |
179 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
28 |
$2K |
| 90688 |
|
115 |
86 |
$270.00 |
| 90619 |
|
103 |
89 |
$170.00 |
| 91301 |
|
544 |
406 |
$13.64 |
| 90733 |
|
82 |
72 |
$0.00 |
| 91307 |
|
326 |
124 |
$0.00 |
| 91306 |
|
69 |
54 |
$0.00 |
| 90715 |
|
56 |
49 |
$0.00 |