| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
188,266 |
142,727 |
$776K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,029 |
2,677 |
$96K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
692 |
617 |
$94K |
| 90837 |
Psychotherapy, 53 minutes with patient |
825 |
445 |
$78K |
| T1002 |
Rn services, up to 15 minutes |
1,535 |
1,285 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
377 |
$43K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,406 |
2,140 |
$27K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,224 |
2,976 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
299 |
218 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,737 |
1,370 |
$23K |
| 0001A |
|
339 |
251 |
$19K |
| 0002A |
|
321 |
235 |
$19K |
| 0012A |
|
319 |
288 |
$17K |
| 0011A |
|
354 |
306 |
$14K |
| 0071A |
|
202 |
124 |
$10K |
| 0072A |
|
165 |
102 |
$9K |
| 81025 |
|
1,023 |
905 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
391 |
297 |
$8K |
| 87210 |
|
1,300 |
1,103 |
$6K |
| 82120 |
|
1,298 |
1,102 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,517 |
1,266 |
$4K |
| 0064A |
|
92 |
53 |
$4K |
| 85018 |
|
1,170 |
956 |
$3K |
| 90734 |
|
333 |
233 |
$3K |
| 90688 |
|
532 |
455 |
$2K |
| 90715 |
|
237 |
189 |
$1K |
| 86592 |
|
202 |
187 |
$1K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
26 |
24 |
$950.00 |
| 0004A |
|
19 |
13 |
$857.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,634 |
1,504 |
$814.05 |
| 90619 |
|
295 |
220 |
$769.60 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,634 |
1,504 |
$522.54 |
| 91300 |
|
805 |
546 |
$458.96 |
| 90651 |
|
16 |
16 |
$390.00 |
| 81003 |
|
121 |
69 |
$338.13 |
| 87390 |
|
642 |
590 |
$197.82 |
| 99000 |
|
4,287 |
3,596 |
$137.96 |
| 96127 |
|
12 |
12 |
$72.94 |
| 86593 |
|
491 |
443 |
$57.75 |
| 91301 |
|
723 |
615 |
$46.96 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
12 |
$30.16 |
| 90686 |
|
30 |
29 |
$12.50 |
| 91307 |
|
396 |
237 |
$0.00 |
| 91306 |
|
92 |
53 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
78 |
74 |
$0.00 |
| S0317 |
Disease management program; per diem |
12 |
12 |
$0.00 |