| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
408 |
374 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
383 |
$36K |
| 99215 |
Prolong outpt/office vis |
156 |
129 |
$28K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 0002A |
|
18 |
18 |
$720.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$658.92 |
| 0001A |
|
16 |
16 |
$640.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$352.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$196.68 |