| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,550 |
4,668 |
$30K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
952 |
746 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
57 |
$436.79 |
| 80305 |
|
66 |
64 |
$383.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88 |
81 |
$361.00 |
| 90686 |
|
25 |
25 |
$348.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
72 |
69 |
$220.43 |
| 87275 |
|
12 |
12 |
$99.12 |
| 87276 |
|
12 |
12 |
$99.12 |
| 81001 |
|
16 |
14 |
$20.45 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |