| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,234 |
1,993 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,372 |
1,193 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
51 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
95 |
93 |
$914.44 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
12 |
$455.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
13 |
$395.52 |
| 99490 |
Ccm add 20min |
67 |
62 |
$88.56 |
| 90688 |
|
13 |
13 |
$38.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$27.36 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
33 |
$20.25 |
| 3078F |
|
1,145 |
966 |
$0.00 |
| 1160F |
|
2,084 |
1,774 |
$0.00 |
| 1159F |
|
706 |
556 |
$0.00 |
| 3008F |
|
2,253 |
1,860 |
$0.00 |
| 1036F |
|
1,806 |
1,452 |
$0.00 |
| 3074F |
|
1,241 |
1,053 |
$0.00 |