| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,414 |
5,743 |
$427K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,843 |
1,670 |
$97K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
892 |
828 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
99 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
97 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| 99406 |
|
154 |
138 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
54 |
$755.06 |
| 90682 |
|
15 |
13 |
$592.17 |
| 99490 |
Ccm add 20min |
138 |
119 |
$516.81 |
| 81001 |
|
132 |
107 |
$280.51 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
12 |
$269.00 |
| 90686 |
|
28 |
26 |
$220.52 |
| 99484 |
|
41 |
40 |
$123.11 |
| 80305 |
|
12 |
12 |
$84.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$68.85 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
29 |
$59.48 |
| 1159F |
|
641 |
589 |
$0.00 |
| 3078F |
|
491 |
450 |
$0.00 |
| 1160F |
|
693 |
635 |
$0.00 |
| 1126F |
|
374 |
349 |
$0.00 |
| 3074F |
|
626 |
577 |
$0.00 |
| 3008F |
|
586 |
522 |
$0.00 |
| 1125F |
|
164 |
146 |
$0.00 |
| 3079F |
|
60 |
58 |
$0.00 |