| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
8,961 |
8,368 |
$515K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,195 |
4,700 |
$166K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,215 |
4,717 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,066 |
1,719 |
$16K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
129 |
125 |
$15K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
128 |
75 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
903 |
696 |
$11K |
| 0002A |
|
324 |
215 |
$11K |
| 0001A |
|
233 |
224 |
$7K |
| 0003A |
|
71 |
71 |
$3K |
| 0004A |
|
59 |
59 |
$2K |
| 0072A |
|
59 |
59 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
28 |
28 |
$1K |
| 86328 |
|
73 |
67 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
78 |
54 |
$982.76 |
| 72100 |
|
53 |
52 |
$977.63 |
| 90686 |
|
456 |
406 |
$941.41 |
| 0071A |
|
23 |
23 |
$920.00 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
91 |
$882.00 |
| 74018 |
|
60 |
55 |
$852.04 |
| 73560 |
|
48 |
26 |
$653.66 |
| 90715 |
|
23 |
15 |
$627.64 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
85 |
45 |
$518.84 |
| 90688 |
|
51 |
51 |
$375.40 |
| 72040 |
|
12 |
12 |
$230.13 |
| 90656 |
|
36 |
34 |
$180.00 |
| 71045 |
Radiologic examination, chest; single view |
15 |
15 |
$160.79 |
| 90649 |
|
33 |
30 |
$144.00 |
| 90734 |
|
52 |
38 |
$120.00 |
| 90702 |
|
14 |
13 |
$78.00 |
| 90670 |
|
12 |
12 |
$72.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
57 |
36 |
$21.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18 |
17 |
$10.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
32 |
$4.80 |
| 90651 |
|
69 |
39 |
$0.00 |
| 91307 |
|
128 |
117 |
$0.00 |
| 90677 |
|
29 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27 |
27 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
24 |
18 |
$0.00 |
| 90621 |
|
27 |
16 |
$0.00 |