| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
5,868 |
5,101 |
$342K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
203 |
202 |
$25K |
| 0002A |
|
544 |
532 |
$20K |
| 0001A |
|
551 |
512 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,192 |
1,740 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,006 |
791 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,236 |
1,207 |
$10K |
| 90461 |
|
905 |
506 |
$5K |
| 90651 |
|
542 |
378 |
$5K |
| 0003A |
|
100 |
96 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
249 |
193 |
$3K |
| 0004A |
|
95 |
66 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
273 |
210 |
$3K |
| 0072A |
|
71 |
71 |
$3K |
| 90671 |
|
31 |
14 |
$3K |
| 90677 |
|
64 |
38 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12 |
12 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20 |
14 |
$1K |
| 91307 |
|
158 |
131 |
$920.03 |
| 90686 |
|
259 |
192 |
$745.12 |
| 90633 |
|
187 |
123 |
$605.60 |
| 90697 |
|
26 |
12 |
$576.00 |
| 90656 |
|
176 |
125 |
$462.00 |
| 90688 |
|
114 |
74 |
$432.36 |
| 0124A |
|
15 |
14 |
$320.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
24 |
14 |
$213.64 |
| 90715 |
|
114 |
88 |
$203.79 |
| 90734 |
|
112 |
94 |
$176.00 |
| 90756 |
|
36 |
30 |
$172.21 |
| 90670 |
|
122 |
99 |
$152.00 |
| 90707 |
|
88 |
65 |
$140.00 |
| 90716 |
|
79 |
60 |
$84.00 |
| 90649 |
|
14 |
13 |
$54.00 |
| 90696 |
|
15 |
13 |
$36.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$1.80 |
| 91300 |
|
231 |
209 |
$0.00 |