| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,126 |
993 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
348 |
319 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
131 |
111 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
409 |
245 |
$9K |
| 80053 |
Comprehensive metabolic panel |
842 |
764 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
111 |
85 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,601 |
1,422 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
504 |
454 |
$2K |
| 80061 |
Lipid panel |
324 |
303 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
295 |
268 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
228 |
211 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
16 |
$916.76 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$864.60 |
| 81001 |
|
132 |
122 |
$233.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
13 |
$191.10 |
| 85027 |
|
13 |
12 |
$39.70 |
| 90686 |
|
13 |
13 |
$18.55 |
| 90461 |
|
50 |
41 |
$0.00 |