| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,602 |
2,876 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,392 |
1,163 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,328 |
1,090 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
139 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
48 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
56 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
36 |
31 |
$1K |
| 90688 |
|
59 |
43 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
113 |
91 |
$983.37 |
| 0012A |
|
18 |
18 |
$658.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
79 |
73 |
$517.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
136 |
101 |
$366.12 |
| 90756 |
|
20 |
17 |
$265.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
62 |
$264.00 |
| 0011A |
|
19 |
19 |
$257.16 |
| 87430 |
|
13 |
13 |
$191.03 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 91301 |
|
41 |
41 |
$0.00 |