| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,390 |
4,751 |
$450K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,458 |
2,229 |
$123K |
| 99215 |
Prolong outpt/office vis |
168 |
165 |
$23K |
| 99307 |
|
625 |
471 |
$7K |
| 99441 |
|
214 |
183 |
$4K |
| 87428 |
|
70 |
68 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
41 |
40 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
20 |
19 |
$904.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
33 |
$448.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39 |
37 |
$301.78 |
| 80305 |
|
26 |
26 |
$285.50 |