| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
632,659 |
624,037 |
$3.12M |
| 0002A |
|
2,504 |
2,108 |
$116K |
| 0001A |
|
3,003 |
2,502 |
$114K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,820 |
4,181 |
$56K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,934 |
1,870 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,655 |
1,299 |
$41K |
| T1001 |
Nursing assessment / evaluation |
647 |
260 |
$32K |
| 90651 |
|
540 |
360 |
$27K |
| 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 |
481 |
306 |
$24K |
| 0031A |
|
466 |
364 |
$16K |
| 90480 |
|
743 |
320 |
$15K |
| 0071A |
|
457 |
241 |
$12K |
| 90715 |
|
1,008 |
657 |
$12K |
| 91320 |
|
442 |
169 |
$10K |
| 0004A |
|
264 |
164 |
$9K |
| 0072A |
|
299 |
145 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
70 |
$7K |
| 90686 |
|
2,007 |
1,118 |
$7K |
| 0054A |
|
172 |
110 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,624 |
2,306 |
$7K |
| 0011A |
|
182 |
123 |
$6K |
| 0124A |
|
227 |
111 |
$5K |
| 87081 |
|
1,302 |
763 |
$4K |
| 0064A |
|
129 |
75 |
$4K |
| 90632 |
|
61 |
48 |
$4K |
| 0111A |
|
174 |
40 |
$3K |
| 0012A |
|
74 |
60 |
$3K |
| 90619 |
|
677 |
505 |
$2K |
| 90734 |
|
197 |
131 |
$2K |
| 90713 |
|
114 |
94 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
12 |
$2K |
| 87210 |
|
744 |
429 |
$2K |
| 81025 |
|
309 |
220 |
$2K |
| 0003A |
|
31 |
27 |
$1K |
| T1002 |
Rn services, up to 15 minutes |
47 |
29 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
605 |
493 |
$1K |
| 90656 |
|
220 |
156 |
$1K |
| 0134A |
|
64 |
32 |
$1K |
| 0052A |
|
51 |
23 |
$1K |
| 0112A |
|
71 |
16 |
$1K |
| 90716 |
|
43 |
27 |
$758.26 |
| 82120 |
|
369 |
138 |
$552.67 |
| 90714 |
|
18 |
18 |
$376.67 |
| 90620 |
|
49 |
33 |
$368.00 |
| 99502 |
|
28 |
12 |
$240.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,230 |
922 |
$216.38 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,223 |
910 |
$216.38 |
| 91312 |
|
203 |
98 |
$200.54 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$179.44 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
913 |
718 |
$122.12 |
| 87340 |
|
31 |
24 |
$82.81 |
| 86706 |
|
31 |
24 |
$81.96 |
| 90744 |
|
41 |
29 |
$54.10 |
| 86592 |
|
911 |
707 |
$21.68 |
| 87220 |
|
214 |
167 |
$21.56 |
| 90672 |
|
21 |
16 |
$21.00 |
| 91300 |
|
5,709 |
4,381 |
$0.27 |
| LU903 |
|
444 |
375 |
$0.00 |
| 90633 |
|
55 |
39 |
$0.00 |
| LU282 |
|
37 |
34 |
$0.00 |
| LU242 |
|
113 |
98 |
$0.00 |
| 91311 |
|
285 |
68 |
$0.00 |
| 86787 |
|
40 |
31 |
$0.00 |
| 91313 |
|
22 |
14 |
$0.00 |
| 90710 |
|
18 |
13 |
$0.00 |
| 91305 |
|
290 |
183 |
$0.00 |
| 91303 |
|
453 |
363 |
$0.00 |
| 91307 |
|
791 |
388 |
$0.00 |
| LUEXP |
|
103 |
86 |
$0.00 |
| 91301 |
|
382 |
274 |
$0.00 |
| 91306 |
|
120 |
72 |
$0.00 |