| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,940 |
1,720 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,437 |
1,310 |
$84K |
| 99215 |
Prolong outpt/office vis |
228 |
186 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
233 |
229 |
$20K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
851 |
800 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
213 |
191 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
232 |
189 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
43 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
37 |
37 |
$3K |
| 99050 |
|
100 |
97 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
195 |
$2K |
| 90461 |
|
60 |
57 |
$2K |
| 96127 |
|
420 |
241 |
$2K |
| 90686 |
|
1,026 |
554 |
$1K |
| 0072A |
|
29 |
15 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
81 |
81 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$990.79 |
| 99173 |
|
338 |
331 |
$722.54 |
| E0700 |
Safety equipment, device or accessory, any type |
14 |
14 |
$175.00 |
| 1036F |
|
81 |
81 |
$111.25 |