| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,019 |
2,230 |
$154K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
418 |
355 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
227 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
407 |
313 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
719 |
612 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
338 |
305 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
29 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
15 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$882.96 |
| 81003 |
|
163 |
137 |
$220.85 |
| 99173 |
|
34 |
31 |
$166.93 |
| 1000F |
|
46 |
40 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| 1036F |
|
38 |
31 |
$0.00 |