| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,303 |
1,178 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
255 |
231 |
$19K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
332 |
296 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
313 |
289 |
$759.89 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$459.29 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
85 |
77 |
$387.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$387.24 |
| 90688 |
|
20 |
17 |
$47.79 |
| 1160F |
|
166 |
160 |
$0.27 |
| 1159F |
|
169 |
163 |
$0.27 |
| 3008F |
|
79 |
72 |
$0.05 |
| 1126F |
|
47 |
45 |
$0.05 |
| 3078F |
|
16 |
16 |
$0.00 |
| 1111F |
|
87 |
67 |
$0.00 |
| 2000F |
|
215 |
196 |
$0.00 |
| 3074F |
|
16 |
16 |
$0.00 |
| 1000F |
|
15 |
13 |
$0.00 |