| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,125 |
1,073 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
773 |
741 |
$54K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
195 |
189 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
221 |
221 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
631 |
629 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
94 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
230 |
220 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
69 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
205 |
$3K |
| 0072A |
|
33 |
33 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
27 |
$824.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
44 |
$672.76 |
| 96127 |
|
99 |
65 |
$509.59 |
| 96160 |
|
38 |
38 |
$66.56 |
| 90686 |
|
205 |
205 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |