| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
629 |
560 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
321 |
277 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
113 |
$7K |
| 87428 |
|
93 |
73 |
$6K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
40 |
37 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
39 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
75 |
$1K |
| 90686 |
|
22 |
14 |
$449.15 |
| 99000 |
|
51 |
35 |
$370.00 |
| 81025 |
|
19 |
15 |
$95.11 |
| 81003 |
|
23 |
19 |
$48.60 |