| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,295 |
3,800 |
$330K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,686 |
4,735 |
$315K |
| 99199 |
Unlisted special service, procedure or report |
57,924 |
57,140 |
$211K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,296 |
2,008 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
179 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
170 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,128 |
481 |
$12K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
83 |
82 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
278 |
223 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
441 |
369 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
180 |
162 |
$4K |
| 96127 |
|
823 |
553 |
$2K |
| 92551 |
|
1,935 |
1,741 |
$2K |
| 90686 |
|
1,342 |
1,147 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
60 |
56 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$720.33 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$523.36 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
12 |
$518.22 |
| 99173 |
|
888 |
798 |
$321.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
28 |
24 |
$203.76 |
| 99000 |
|
1,180 |
947 |
$0.00 |
| 87999 |
|
1,049 |
759 |
$0.00 |