| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
452,539 |
366,514 |
$2.31M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
899 |
715 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,685 |
1,285 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
154 |
97 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
512 |
400 |
$10K |
| 0002A |
|
242 |
157 |
$9K |
| 0012A |
|
229 |
202 |
$8K |
| 0001A |
|
224 |
152 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
312 |
209 |
$6K |
| 0011A |
|
239 |
214 |
$5K |
| 0071A |
|
134 |
63 |
$4K |
| T1002 |
Rn services, up to 15 minutes |
77 |
66 |
$4K |
| 0064A |
|
74 |
48 |
$3K |
| 0072A |
|
94 |
43 |
$3K |
| 90734 |
|
182 |
129 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
56 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
235 |
173 |
$2K |
| 90688 |
|
158 |
130 |
$1K |
| 90649 |
|
15 |
14 |
$1K |
| 90715 |
|
194 |
154 |
$800.00 |
| 0134A |
|
23 |
13 |
$776.39 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$774.83 |
| 36415 |
Collection of venous blood by venipuncture |
348 |
294 |
$760.63 |
| 90619 |
|
176 |
144 |
$565.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
19 |
17 |
$515.94 |
| 90686 |
|
97 |
62 |
$132.71 |
| 90633 |
|
14 |
14 |
$75.00 |
| 91300 |
|
498 |
289 |
$0.00 |
| 91307 |
|
257 |
113 |
$0.00 |
| 91301 |
|
423 |
384 |
$0.00 |
| 90651 |
|
33 |
31 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
38 |
$0.00 |
| 91306 |
|
29 |
22 |
$0.00 |
| 3500F |
|
14 |
13 |
$0.00 |