| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,282 |
1,468 |
$41K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
751 |
612 |
$33K |
| 87400 |
|
214 |
104 |
$1K |
| 87430 |
|
181 |
170 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,266 |
654 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
504 |
209 |
$749.36 |
| 81003 |
|
544 |
336 |
$270.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
379 |
180 |
$270.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$217.08 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$112.56 |
| 36416 |
|
1,194 |
597 |
$1.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
236 |
102 |
$0.00 |
| 90686 |
|
196 |
98 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
25 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
49 |
$0.00 |
| 99051 |
|
117 |
38 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
714 |
99 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
214 |
98 |
$0.00 |