| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
228,976 |
227,192 |
$1.24M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,700 |
3,134 |
$51K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,762 |
1,459 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,273 |
1,149 |
$40K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,087 |
1,020 |
$19K |
| 0001A |
|
154 |
120 |
$9K |
| 0012A |
|
132 |
107 |
$7K |
| 99383 |
|
76 |
67 |
$7K |
| 0002A |
|
107 |
85 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
354 |
250 |
$6K |
| 0011A |
|
90 |
71 |
$5K |
| 0064A |
|
92 |
68 |
$5K |
| 87210 |
|
746 |
683 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,217 |
1,094 |
$3K |
| 82120 |
|
611 |
563 |
$3K |
| 81025 |
|
355 |
331 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
70 |
60 |
$1K |
| 0071A |
|
27 |
16 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
146 |
137 |
$1K |
| 0072A |
|
19 |
12 |
$1K |
| 99382 |
|
13 |
13 |
$1K |
| 0004A |
|
15 |
12 |
$975.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
721 |
694 |
$871.36 |
| 96127 |
|
202 |
181 |
$826.45 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
721 |
694 |
$825.46 |
| 90715 |
|
603 |
483 |
$565.00 |
| 90734 |
|
855 |
612 |
$405.01 |
| 99001 |
|
2,075 |
1,774 |
$270.08 |
| 92552 |
|
436 |
354 |
$183.15 |
| 99173 |
|
454 |
376 |
$141.97 |
| 90716 |
|
96 |
85 |
$102.00 |
| 90686 |
|
438 |
380 |
$95.01 |
| 85018 |
|
62 |
61 |
$84.28 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
123 |
76 |
$76.26 |
| 90707 |
|
95 |
84 |
$60.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
534 |
523 |
$55.79 |
| 90713 |
|
21 |
12 |
$0.01 |
| 90651 |
|
402 |
327 |
$0.01 |
| 90700 |
|
112 |
108 |
$0.00 |
| 83655 |
|
19 |
19 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
44 |
39 |
$0.00 |
| 91300 |
|
363 |
272 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 91307 |
|
91 |
53 |
$0.00 |
| 91301 |
|
240 |
192 |
$0.00 |
| 91306 |
|
93 |
69 |
$0.00 |
| 90744 |
|
103 |
99 |
$0.00 |
| 86592 |
|
546 |
533 |
$0.00 |
| 90619 |
|
377 |
354 |
$0.00 |
| 36416 |
|
23 |
23 |
$0.00 |
| 90656 |
|
37 |
36 |
$0.00 |