| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
608,987 |
601,309 |
$3.08M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
638 |
363 |
$25K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,675 |
1,572 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,072 |
1,345 |
$22K |
| 81025 |
|
3,261 |
2,194 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
701 |
578 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
148 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
808 |
547 |
$14K |
| T1002 |
Rn services, up to 15 minutes |
174 |
137 |
$11K |
| 99502 |
|
161 |
160 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
110 |
55 |
$9K |
| 99501 |
|
123 |
111 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
68 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
651 |
437 |
$2K |
| 90734 |
|
521 |
279 |
$2K |
| 99385 |
|
35 |
12 |
$1K |
| 90619 |
|
650 |
464 |
$961.15 |
| 90715 |
|
495 |
313 |
$153.10 |
| 87210 |
|
402 |
284 |
$112.02 |
| 82120 |
|
388 |
281 |
$91.84 |
| 83986 |
|
340 |
237 |
$69.98 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
544 |
322 |
$45.83 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
740 |
509 |
$45.83 |
| 2000F |
|
6,103 |
3,768 |
$4.46 |
| 99000 |
|
2,444 |
1,507 |
$0.00 |
| 86592 |
|
70 |
56 |
$0.00 |
| 90651 |
|
45 |
41 |
$0.00 |
| 90620 |
|
17 |
15 |
$0.00 |
| 90686 |
|
157 |
114 |
$0.00 |
| 86703 |
|
70 |
56 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 90713 |
|
14 |
12 |
$0.00 |