| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,502 |
1,815 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,494 |
2,391 |
$170K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
484 |
342 |
$51K |
| 99199 |
Unlisted special service, procedure or report |
16,879 |
16,036 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,807 |
1,434 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,238 |
909 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
133 |
126 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
38 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
241 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
84 |
59 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$611.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
52 |
44 |
$577.81 |
| 90686 |
|
564 |
425 |
$524.04 |
| 92551 |
|
266 |
198 |
$494.87 |
| 99173 |
|
264 |
198 |
$20.54 |
| 90656 |
|
50 |
42 |
$0.00 |