| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,833 |
1,521 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
481 |
380 |
$22K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
56 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
30 |
25 |
$910.36 |
| 90686 |
|
57 |
45 |
$586.87 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
28 |
$282.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
14 |
$173.84 |
| 96127 |
|
58 |
49 |
$146.68 |
| 1160F |
|
2,420 |
1,854 |
$0.00 |
| 3078F |
|
1,054 |
852 |
$0.00 |
| 3074F |
|
1,083 |
874 |
$0.00 |