| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
269 |
246 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
130 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
59 |
56 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
137 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$172.49 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$80.88 |
| 99080 |
|
125 |
34 |
$0.00 |