| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
610 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
866 |
787 |
$53K |
| 92587 |
|
194 |
185 |
$11K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
73 |
70 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
406 |
391 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
472 |
457 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
107 |
$5K |
| 99199 |
Unlisted special service, procedure or report |
175 |
165 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
19 |
19 |
$1K |
| 90461 |
|
30 |
25 |
$591.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$396.60 |
| 87070 |
|
44 |
43 |
$342.60 |
| 99441 |
|
15 |
14 |
$223.20 |
| 99177 |
|
39 |
31 |
$195.10 |