| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
986 |
814 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
71 |
64 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
54 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
416 |
345 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
34 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
133 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
133 |
$2K |
| 81003 |
|
333 |
290 |
$701.82 |
| 36416 |
|
445 |
372 |
$663.78 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$367.27 |
| 80061 |
Lipid panel |
14 |
12 |
$114.16 |
| 99177 |
|
14 |
13 |
$96.13 |
| 90686 |
|
15 |
15 |
$93.54 |