| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,902 |
1,694 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,410 |
1,254 |
$49K |
| 80053 |
Comprehensive metabolic panel |
464 |
454 |
$5K |
| 80061 |
Lipid panel |
323 |
323 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
772 |
706 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
68 |
$3K |
| 80050 |
General health panel |
43 |
43 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
232 |
232 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
56 |
54 |
$696.30 |
| 83721 |
|
46 |
46 |
$529.50 |
| 93000 |
|
26 |
25 |
$469.39 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$275.00 |
| 0011A |
|
12 |
12 |
$223.56 |
| 3079F |
|
121 |
111 |
$0.00 |
| 3074F |
|
373 |
334 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 91301 |
|
30 |
30 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 3078F |
|
228 |
206 |
$0.00 |