| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,905 |
2,381 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,870 |
1,620 |
$178K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
845 |
818 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
263 |
252 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
765 |
422 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
807 |
755 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$3K |
| 90651 |
|
12 |
12 |
$3K |
| 90461 |
|
46 |
45 |
$1K |
| 90734 |
|
12 |
12 |
$1K |
| 0072A |
|
34 |
29 |
$1K |
| 90686 |
|
59 |
59 |
$1K |
| 81002 |
|
330 |
316 |
$843.03 |
| 0001A |
|
18 |
17 |
$640.00 |
| 0071A |
|
21 |
17 |
$640.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
55 |
41 |
$365.24 |
| 99173 |
|
15 |
15 |
$65.06 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
51 |
48 |
$29.33 |
| 91307 |
|
80 |
65 |
$0.00 |
| 91300 |
|
27 |
17 |
$0.00 |