| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
961 |
833 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,139 |
962 |
$68K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
186 |
157 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
724 |
599 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
229 |
212 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
212 |
100 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
27 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
234 |
209 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
39 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
29 |
$723.97 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
15 |
$542.70 |
| 81003 |
|
314 |
279 |
$492.51 |
| 96127 |
|
94 |
86 |
$400.40 |
| 36416 |
|
688 |
559 |
$276.98 |
| 90686 |
|
15 |
12 |
$0.00 |