| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
243,491 |
238,813 |
$1.24M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
840 |
661 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
196 |
171 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
120 |
83 |
$3K |
| 0064A |
|
41 |
32 |
$2K |
| 82120 |
|
644 |
381 |
$2K |
| 87210 |
|
698 |
380 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
62 |
35 |
$1K |
| 90686 |
|
204 |
159 |
$1K |
| 90619 |
|
116 |
97 |
$987.01 |
| 90734 |
|
54 |
41 |
$915.34 |
| 99502 |
|
55 |
15 |
$759.42 |
| 36415 |
Collection of venous blood by venipuncture |
348 |
212 |
$670.40 |
| 99501 |
|
29 |
12 |
$411.55 |
| S4993 |
Contraceptive pills for birth control |
40 |
14 |
$209.16 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
266 |
153 |
$156.66 |
| 90715 |
|
37 |
33 |
$144.66 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
247 |
139 |
$137.49 |
| 81003 |
|
46 |
25 |
$50.87 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
13 |
$3.20 |
| 91306 |
|
41 |
32 |
$0.00 |
| 99000 |
|
60 |
40 |
$0.00 |
| 86592 |
|
43 |
25 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
43 |
25 |
$0.00 |