| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
33,388 |
22,415 |
$224K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
446 |
395 |
$6K |
| 0001A |
|
88 |
70 |
$4K |
| 0002A |
|
95 |
66 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
120 |
79 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
55 |
$1K |
| 0012A |
|
35 |
33 |
$909.75 |
| 0011A |
|
59 |
53 |
$843.72 |
| 90734 |
|
114 |
92 |
$628.24 |
| 90688 |
|
64 |
62 |
$589.60 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
54 |
53 |
$513.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
30 |
$494.30 |
| 91300 |
|
213 |
138 |
$0.69 |
| 91307 |
|
16 |
12 |
$0.00 |
| 90619 |
|
35 |
30 |
$0.00 |
| 91301 |
|
145 |
124 |
$0.00 |
| 90715 |
|
17 |
15 |
$0.00 |