| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
176,290 |
144,461 |
$949K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,253 |
949 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
908 |
756 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,036 |
816 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,050 |
650 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
315 |
249 |
$6K |
| 0012A |
|
82 |
74 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
159 |
124 |
$3K |
| 0011A |
|
80 |
76 |
$3K |
| 0002A |
|
75 |
50 |
$3K |
| 0001A |
|
55 |
43 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
776 |
620 |
$2K |
| 81025 |
|
228 |
160 |
$1K |
| 0071A |
|
26 |
12 |
$793.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
35 |
28 |
$617.13 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
141 |
112 |
$519.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$409.19 |
| 90688 |
|
324 |
200 |
$348.91 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
106 |
52 |
$340.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
27 |
$218.75 |
| 90734 |
|
67 |
40 |
$111.36 |
| 87210 |
|
17 |
12 |
$46.56 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
26 |
25 |
$21.59 |
| 91300 |
|
142 |
97 |
$0.00 |
| 91301 |
|
257 |
226 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 91307 |
|
36 |
12 |
$0.00 |