| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
476 |
428 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
128 |
128 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
221 |
218 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
227 |
111 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$757.54 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
185 |
175 |
$747.20 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
104 |
103 |
$702.11 |
| 99000 |
|
49 |
47 |
$399.60 |
| 87807 |
|
52 |
51 |
$388.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
24 |
$247.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$219.78 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
53 |
52 |
$24.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
72 |
$4.16 |
| 90461 |
|
15 |
13 |
$0.00 |