| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
480 |
375 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
294 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
177 |
140 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
79 |
70 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
214 |
204 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
27 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
281 |
228 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
13 |
$426.96 |
| 90686 |
|
97 |
92 |
$57.32 |
| 36416 |
|
42 |
31 |
$8.00 |
| 99000 |
|
141 |
107 |
$0.00 |