| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
17,311 |
9,982 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
853 |
671 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
257 |
237 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
89 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
374 |
300 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
173 |
132 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
41 |
35 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
36 |
$1K |
| 0001A |
|
24 |
13 |
$800.00 |
| 92587 |
|
89 |
79 |
$777.68 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
26 |
$591.59 |
| 99441 |
|
13 |
12 |
$471.05 |
| 0011A |
|
18 |
15 |
$358.58 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$233.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$218.55 |
| 36415 |
Collection of venous blood by venipuncture |
105 |
79 |
$190.90 |
| 90686 |
|
187 |
148 |
$91.85 |
| 99173 |
|
88 |
81 |
$36.08 |
| 91300 |
|
106 |
56 |
$0.00 |
| 99000 |
|
201 |
161 |
$0.00 |