| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17,136 |
7,919 |
$374K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,629 |
2,466 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
840 |
651 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
694 |
598 |
$72K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,774 |
1,320 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
357 |
354 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
832 |
662 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
368 |
316 |
$27K |
| 99401 |
|
543 |
498 |
$18K |
| 87428 |
|
218 |
200 |
$13K |
| 99441 |
|
105 |
95 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
74 |
$3K |
| 99383 |
|
29 |
29 |
$3K |
| 96127 |
|
661 |
603 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
141 |
125 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
119 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 99173 |
|
172 |
172 |
$625.25 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
31 |
$569.45 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
22 |
$432.87 |
| 0011A |
|
51 |
51 |
$287.98 |
| 0012A |
|
17 |
17 |
$217.44 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$155.38 |
| 91301 |
|
27 |
24 |
$0.00 |