| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,131 |
6,233 |
$361K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,101 |
981 |
$77K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
781 |
725 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,585 |
1,419 |
$2K |
| 90686 |
|
85 |
85 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
29 |
$703.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
50 |
$648.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$529.58 |
| 90756 |
|
15 |
15 |
$287.70 |
| 81000 |
|
68 |
62 |
$183.57 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
12 |
12 |
$137.80 |
| 96127 |
|
12 |
12 |
$53.61 |
| 1160F |
|
31 |
28 |
$0.00 |
| 0502F |
|
108 |
65 |
$0.00 |