| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,616 |
1,550 |
$25K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
59 |
59 |
$6K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
167 |
165 |
$6K |
| 90686 |
|
396 |
388 |
$2K |
| 83655 |
|
160 |
149 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
73 |
$1K |
| 85018 |
|
604 |
588 |
$1K |
| 99188 |
|
70 |
70 |
$1K |
| 90715 |
|
47 |
47 |
$749.07 |
| 90734 |
|
82 |
80 |
$425.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$211.36 |
| 90651 |
|
31 |
31 |
$165.29 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$92.68 |
| 90633 |
|
16 |
16 |
$85.60 |
| 90716 |
|
12 |
12 |
$64.20 |