| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,278 |
2,043 |
$234K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,291 |
1,190 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
420 |
420 |
$37K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,213 |
1,597 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
748 |
714 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,093 |
523 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
89 |
88 |
$13K |
| 92587 |
|
680 |
679 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
67 |
$6K |
| 96127 |
|
1,037 |
1,037 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
69 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
678 |
649 |
$3K |
| 96160 |
|
1,790 |
1,464 |
$1K |
| 87807 |
|
94 |
89 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99051 |
|
25 |
25 |
$990.00 |
| 0072A |
|
17 |
17 |
$680.00 |
| 0071A |
|
16 |
16 |
$640.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
16 |
$561.44 |
| 99401 |
|
13 |
13 |
$436.09 |
| 36410 |
|
13 |
12 |
$276.12 |
| 99000 |
|
1,746 |
1,637 |
$0.00 |
| 92551 |
|
174 |
174 |
$0.00 |
| 94760 |
|
1,255 |
1,127 |
$0.00 |
| 99173 |
|
847 |
847 |
$0.00 |
| 99072 |
|
329 |
302 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
91 |
87 |
$0.00 |