| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,237 |
1,237 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,224 |
1,733 |
$102K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
865 |
428 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
538 |
303 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
507 |
300 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
885 |
473 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
425 |
256 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
908 |
551 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
76 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
350 |
77 |
$2K |
| 99381 |
|
21 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
194 |
77 |
$1K |
| 90677 |
|
354 |
211 |
$1K |
| 83655 |
|
96 |
54 |
$918.31 |
| 90734 |
|
43 |
39 |
$731.73 |
| 90461 |
|
697 |
412 |
$268.16 |
| 87807 |
|
16 |
16 |
$169.23 |
| 36415 |
Collection of venous blood by venipuncture |
74 |
29 |
$140.74 |
| 90647 |
|
172 |
102 |
$70.00 |
| 90715 |
|
16 |
14 |
$62.46 |
| 3078F |
|
1,814 |
1,091 |
$10.00 |
| 90723 |
|
192 |
129 |
$0.00 |
| 3074F |
|
1,730 |
1,036 |
$0.00 |
| 90696 |
|
49 |
24 |
$0.00 |
| 90651 |
|
28 |
26 |
$0.00 |
| 3075F |
|
39 |
37 |
$0.00 |
| 90710 |
|
51 |
26 |
$0.00 |
| 90633 |
|
56 |
33 |
$0.00 |
| 90681 |
|
53 |
25 |
$0.00 |