| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,411 |
2,056 |
$73K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,030 |
996 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,196 |
1,142 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,205 |
1,152 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,530 |
1,409 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
75 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$881.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
58 |
58 |
$770.00 |
| 86756 |
|
12 |
12 |
$160.20 |
| 3078F |
|
2,267 |
1,940 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 1125F |
|
925 |
821 |
$0.00 |
| 1126F |
|
1,329 |
1,190 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
217 |
197 |
$0.00 |
| 3074F |
|
2,357 |
2,010 |
$0.00 |
| 3008F |
|
36 |
36 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 3079F |
|
17 |
16 |
$0.00 |