| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
11,548 |
10,020 |
$482K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,579 |
1,707 |
$191K |
| S9083 |
Global fee urgent care centers |
1,483 |
1,273 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,561 |
4,059 |
$40K |
| 90649 |
|
941 |
595 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,155 |
1,852 |
$29K |
| 0002A |
|
1,603 |
1,060 |
$28K |
| 0001A |
|
1,624 |
1,078 |
$26K |
| 0003A |
|
613 |
599 |
$24K |
| 90734 |
|
489 |
336 |
$16K |
| 90670 |
|
325 |
258 |
$9K |
| 0013A |
|
194 |
190 |
$7K |
| 0124A |
|
174 |
136 |
$6K |
| 90656 |
|
3,792 |
2,727 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
623 |
505 |
$6K |
| 90620 |
|
119 |
73 |
$6K |
| 90716 |
|
185 |
109 |
$5K |
| 90715 |
|
390 |
259 |
$5K |
| 0071A |
|
116 |
114 |
$4K |
| 0072A |
|
118 |
114 |
$4K |
| 0054A |
|
101 |
101 |
$4K |
| 90707 |
|
193 |
119 |
$3K |
| 0004A |
|
172 |
132 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
108 |
81 |
$2K |
| 90633 |
|
104 |
71 |
$1K |
| 0064A |
|
23 |
23 |
$920.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
918 |
542 |
$873.24 |
| 90621 |
|
25 |
13 |
$530.60 |
| 90648 |
|
98 |
77 |
$302.39 |
| 90461 |
|
633 |
367 |
$200.10 |
| 90680 |
|
32 |
32 |
$200.00 |
| 90655 |
|
178 |
158 |
$198.03 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
204 |
174 |
$0.25 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
79 |
70 |
$0.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
21 |
21 |
$0.13 |
| 91305 |
|
60 |
60 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 90677 |
|
96 |
54 |
$0.00 |
| 91306 |
|
16 |
16 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 91312 |
|
174 |
136 |
$0.00 |
| 90700 |
|
51 |
40 |
$0.00 |
| 91300 |
|
27 |
26 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
13 |
13 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |
| 90623 |
|
25 |
14 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
13 |
13 |
$0.00 |
| 90713 |
|
16 |
12 |
$0.00 |