| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,346 |
1,867 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
129 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
256 |
237 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
109 |
$782.59 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
17 |
17 |
$667.06 |
| 87400 |
|
47 |
47 |
$641.04 |
| 36415 |
Collection of venous blood by venipuncture |
318 |
285 |
$633.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$196.62 |
| 81001 |
|
39 |
28 |
$93.42 |
| 85018 |
|
32 |
28 |
$73.20 |
| 81002 |
|
16 |
16 |
$44.50 |