| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,852 |
3,368 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
663 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
618 |
573 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
308 |
285 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
153 |
143 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
457 |
422 |
$5K |
| 87807 |
|
155 |
144 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 0013A |
|
38 |
27 |
$925.78 |
| 80053 |
Comprehensive metabolic panel |
105 |
92 |
$802.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
137 |
120 |
$748.08 |
| 0012A |
|
24 |
24 |
$627.14 |
| 0011A |
|
25 |
25 |
$520.54 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$360.62 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
13 |
$299.43 |
| 81003 |
|
102 |
86 |
$122.42 |
| 99001 |
|
27 |
14 |
$35.34 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$32.95 |
| 90686 |
|
13 |
13 |
$0.00 |