| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
781 |
699 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
455 |
428 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
733 |
675 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
104 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
63 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
270 |
256 |
$2K |
| 86403 |
|
217 |
201 |
$2K |
| 86063 |
|
194 |
181 |
$861.24 |
| 86756 |
|
45 |
43 |
$574.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$194.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$172.90 |
| 3078F |
|
1,156 |
1,024 |
$0.00 |
| 1126F |
|
794 |
734 |
$0.00 |
| 3074F |
|
1,162 |
1,033 |
$0.00 |
| 1125F |
|
322 |
295 |
$0.00 |
| 3008F |
|
96 |
91 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |