| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,075 |
2,778 |
$285K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,583 |
2,335 |
$164K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
108 |
95 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
63 |
$2K |
| 0011A |
|
55 |
55 |
$2K |
| 0012A |
|
45 |
45 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
36 |
$1K |
| 80061 |
Lipid panel |
88 |
88 |
$916.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$488.66 |
| 36415 |
Collection of venous blood by venipuncture |
171 |
162 |
$393.93 |
| 90686 |
|
12 |
12 |
$229.97 |
| 82947 |
|
13 |
13 |
$60.84 |