| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,049 |
5,137 |
$184K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
252 |
224 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
78 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
483 |
224 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
520 |
460 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
15 |
$735.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
44 |
$527.67 |
| 80053 |
Comprehensive metabolic panel |
46 |
38 |
$287.18 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
51 |
$21.54 |