| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
307,099 |
300,383 |
$1.56M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,828 |
1,873 |
$184K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,299 |
2,233 |
$87K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
1,620 |
1,246 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,333 |
3,179 |
$47K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,547 |
1,212 |
$33K |
| 81003 |
|
4,197 |
2,732 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
3,846 |
2,795 |
$9K |
| 0071A |
|
266 |
123 |
$7K |
| T1002 |
Rn services, up to 15 minutes |
133 |
111 |
$7K |
| 0072A |
|
195 |
107 |
$7K |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
838 |
658 |
$4K |
| 0002A |
|
80 |
43 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
13 |
$3K |
| 90686 |
|
1,273 |
948 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 90734 |
|
273 |
238 |
$2K |
| 0001A |
|
78 |
31 |
$2K |
| 87210 |
|
591 |
445 |
$2K |
| 82120 |
|
614 |
455 |
$2K |
| 90715 |
|
526 |
423 |
$2K |
| 85018 |
|
760 |
593 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$2K |
| 0064A |
|
58 |
34 |
$2K |
| 81025 |
|
315 |
223 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
53 |
$1K |
| 0012A |
|
40 |
15 |
$1K |
| 0004A |
|
28 |
13 |
$975.00 |
| 90707 |
|
13 |
13 |
$475.91 |
| 90619 |
|
286 |
207 |
$171.22 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
233 |
136 |
$86.28 |
| 96161 |
|
47 |
40 |
$70.90 |
| 91300 |
|
246 |
115 |
$55.89 |
| 91301 |
|
35 |
17 |
$2.89 |
| 90651 |
|
15 |
14 |
$0.00 |
| 91307 |
|
354 |
177 |
$0.00 |
| 91306 |
|
51 |
30 |
$0.00 |
| 91305 |
|
67 |
21 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90710 |
|
25 |
14 |
$0.00 |