| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,425 |
1,187 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,564 |
1,335 |
$91K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
167 |
145 |
$8K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
44 |
42 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
51 |
$2K |
| 0012A |
|
43 |
43 |
$2K |
| 0011A |
|
42 |
41 |
$1K |
| 0013A |
|
26 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
12 |
$574.71 |
| 0071A |
|
20 |
15 |
$481.18 |
| 0072A |
|
15 |
13 |
$481.18 |
| 36415 |
Collection of venous blood by venipuncture |
163 |
144 |
$313.97 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$276.50 |
| 90756 |
|
13 |
13 |
$241.24 |
| 90674 |
|
13 |
13 |
$223.52 |
| 90656 |
|
17 |
17 |
$140.26 |
| 90686 |
|
12 |
12 |
$138.32 |
| 3078F |
|
132 |
113 |
$0.00 |
| 1159F |
|
27 |
23 |
$0.00 |
| 1160F |
|
27 |
23 |
$0.00 |
| 1034F |
|
30 |
14 |
$0.00 |
| 3008F |
|
282 |
233 |
$0.00 |
| 3074F |
|
234 |
197 |
$0.00 |
| 1036F |
|
219 |
166 |
$0.00 |