| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,048 |
6,984 |
$435K |
| 99199 |
Unlisted special service, procedure or report |
56,859 |
33,427 |
$340K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
584 |
502 |
$32K |
| 87428 |
|
561 |
444 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
156 |
96 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
175 |
141 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
118 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
82 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
97 |
67 |
$447.70 |
| 36415 |
Collection of venous blood by venipuncture |
333 |
239 |
$431.86 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64 |
41 |
$308.51 |
| 80076 |
|
61 |
38 |
$280.57 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21 |
12 |
$201.57 |
| 99173 |
|
78 |
51 |
$22.54 |
| 3078F |
|
3,415 |
2,690 |
$0.00 |
| 90756 |
|
17 |
15 |
$0.00 |
| 3074F |
|
4,082 |
3,222 |
$0.00 |
| 3079F |
|
658 |
534 |
$0.00 |
| 92551 |
|
20 |
14 |
$0.00 |
| 3080F |
|
19 |
14 |
$0.00 |
| 3075F |
|
42 |
33 |
$0.00 |