| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
117,983 |
71,138 |
$752K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,588 |
6,235 |
$477K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,416 |
1,976 |
$102K |
| 99401 |
|
2,586 |
1,795 |
$56K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
503 |
373 |
$35K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
128 |
26 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
222 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,474 |
951 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
842 |
523 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
340 |
220 |
$10K |
| 99215 |
Prolong outpt/office vis |
101 |
70 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
49 |
$7K |
| 87800 |
|
237 |
149 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
222 |
146 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,609 |
2,647 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
46 |
21 |
$4K |
| 81003 |
|
2,054 |
1,431 |
$3K |
| 81002 |
|
2,330 |
1,636 |
$3K |
| 92551 |
|
2,489 |
1,899 |
$3K |
| 81025 |
|
397 |
252 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
92 |
$910.97 |
| 71045 |
Radiologic examination, chest; single view |
56 |
49 |
$683.48 |
| 99051 |
|
45 |
30 |
$440.34 |
| 99173 |
|
2,508 |
1,907 |
$368.70 |
| 80305 |
|
47 |
37 |
$364.74 |
| 93000 |
|
25 |
13 |
$259.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
12 |
$226.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$84.90 |
| 82948 |
|
46 |
27 |
$80.81 |
| 94760 |
|
42 |
41 |
$12.42 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
20 |
14 |
$7.54 |
| 90734 |
|
290 |
195 |
$0.00 |
| 90649 |
|
119 |
70 |
$0.00 |
| 90715 |
|
131 |
76 |
$0.00 |
| 90714 |
|
27 |
12 |
$0.00 |
| 90733 |
|
220 |
96 |
$0.00 |
| 90686 |
|
117 |
81 |
$0.00 |
| 99402 |
|
24 |
12 |
$0.00 |
| 90650 |
|
38 |
14 |
$0.00 |