| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
69,787 |
53,576 |
$6.32M |
| 99199 |
Unlisted special service, procedure or report |
47,698 |
20,250 |
$226K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,953 |
10,796 |
$150K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,396 |
4,830 |
$132K |
| 87428 |
|
3,082 |
2,672 |
$130K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,150 |
1,543 |
$56K |
| 59025 |
Fetal non-stress test |
1,096 |
507 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
167 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
419 |
306 |
$9K |
| 87807 |
|
126 |
90 |
$2K |
| 81003 |
|
287 |
238 |
$849.21 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
46 |
25 |
$702.96 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
46 |
25 |
$506.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
12 |
$302.85 |
| 81025 |
|
41 |
37 |
$214.70 |
| 80305 |
|
17 |
12 |
$191.89 |