| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
26,625 |
13,963 |
$190K |
| 0001A |
|
286 |
183 |
$11K |
| 0002A |
|
336 |
174 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
534 |
442 |
$7K |
| 0012A |
|
116 |
109 |
$5K |
| 0011A |
|
148 |
142 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
135 |
112 |
$3K |
| 0071A |
|
48 |
25 |
$2K |
| 0072A |
|
44 |
24 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
60 |
48 |
$1K |
| 0004A |
|
33 |
13 |
$1K |
| 90734 |
|
168 |
126 |
$679.05 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$288.00 |
| 90688 |
|
56 |
45 |
$230.43 |
| 90715 |
|
93 |
77 |
$36.01 |
| 91300 |
|
683 |
343 |
$0.00 |
| 91301 |
|
264 |
249 |
$0.00 |
| 90619 |
|
47 |
46 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$0.00 |
| 91307 |
|
127 |
70 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |