| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,857 |
22,296 |
$1.77M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,816 |
4,871 |
$589K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,586 |
2,323 |
$262K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,114 |
4,280 |
$231K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,618 |
3,151 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,328 |
1,149 |
$99K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
939 |
678 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
880 |
804 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,988 |
857 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
489 |
377 |
$14K |
| 99000 |
|
2,462 |
2,172 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
141 |
133 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
594 |
506 |
$7K |
| 87430 |
|
450 |
311 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
33 |
$3K |
| 87400 |
|
388 |
104 |
$2K |
| 87807 |
|
169 |
107 |
$1K |
| 99215 |
Prolong outpt/office vis |
17 |
15 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
66 |
49 |
$939.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
21 |
$679.75 |
| 90688 |
|
46 |
42 |
$606.56 |
| 90686 |
|
31 |
30 |
$513.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
46 |
$435.15 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
21 |
$420.00 |
| 81003 |
|
134 |
99 |
$188.06 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
13 |
$177.78 |