| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,642 |
1,407 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
511 |
437 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
187 |
176 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
27 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
104 |
$2K |
| 87400 |
|
46 |
45 |
$552.98 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$111.00 |
| 36415 |
Collection of venous blood by venipuncture |
183 |
146 |
$107.65 |
| 0001A |
|
13 |
12 |
$33.88 |
| 1160F |
|
1,558 |
1,361 |
$0.00 |
| 1159F |
|
1,543 |
1,346 |
$0.00 |
| 3288F |
|
1,076 |
923 |
$0.00 |
| 3078F |
|
637 |
575 |
$0.00 |
| 3725F |
|
274 |
241 |
$0.00 |
| 3077F |
|
27 |
25 |
$0.00 |
| 1036F |
|
808 |
692 |
$0.00 |
| 1000F |
|
1,321 |
1,152 |
$0.00 |
| 3074F |
|
846 |
754 |
$0.00 |
| 3352F |
|
273 |
244 |
$0.00 |
| 3008F |
|
646 |
565 |
$0.00 |
| 3079F |
|
154 |
146 |
$0.00 |
| 1126F |
|
225 |
209 |
$0.00 |
| 1111F |
|
602 |
525 |
$0.00 |
| 1034F |
|
142 |
124 |
$0.00 |
| 1035F |
|
114 |
94 |
$0.00 |
| 1125F |
|
46 |
44 |
$0.00 |