| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
417 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
937 |
856 |
$7K |
| 87430 |
|
635 |
587 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
560 |
267 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
162 |
147 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
46 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
46 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$434.28 |
| 3074F |
|
1,119 |
1,020 |
$0.00 |
| 3078F |
|
1,059 |
971 |
$0.00 |