| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
551,957 |
543,129 |
$2.77M |
| 99502 |
|
1,208 |
1,160 |
$79K |
| 99501 |
|
1,169 |
1,028 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
867 |
729 |
$65K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,040 |
3,499 |
$55K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
362 |
289 |
$48K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,338 |
1,177 |
$46K |
| 99385 |
|
281 |
225 |
$44K |
| 90715 |
|
1,668 |
1,443 |
$31K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,347 |
1,168 |
$28K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,578 |
1,401 |
$15K |
| 81025 |
|
1,928 |
1,510 |
$14K |
| 0001A |
|
315 |
192 |
$12K |
| 0002A |
|
273 |
184 |
$12K |
| 87210 |
|
2,009 |
1,698 |
$9K |
| 86592 |
|
1,258 |
1,071 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,386 |
1,187 |
$4K |
| 0004A |
|
98 |
63 |
$3K |
| 90688 |
|
165 |
163 |
$3K |
| 0071A |
|
61 |
41 |
$2K |
| 0072A |
|
65 |
36 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
86 |
81 |
$2K |
| 90651 |
|
130 |
119 |
$2K |
| 0052A |
|
54 |
27 |
$2K |
| 90686 |
|
367 |
324 |
$2K |
| 90716 |
|
13 |
12 |
$1K |
| 90480 |
|
37 |
15 |
$975.00 |
| 90734 |
|
250 |
177 |
$957.00 |
| 0054A |
|
32 |
15 |
$910.00 |
| 90619 |
|
499 |
421 |
$888.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$740.09 |
| 0064A |
|
12 |
12 |
$701.69 |
| 0124A |
|
19 |
12 |
$650.00 |
| 91300 |
|
754 |
449 |
$495.44 |
| 90656 |
|
24 |
24 |
$348.47 |
| 90623 |
|
15 |
15 |
$236.90 |
| 91307 |
|
133 |
74 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
404 |
361 |
$0.00 |
| 90620 |
|
14 |
12 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
40 |
37 |
$0.00 |
| 91305 |
|
165 |
104 |
$0.00 |
| 91306 |
|
12 |
12 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
109 |
97 |
$0.00 |
| 90710 |
|
48 |
40 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |