| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,059 |
2,500 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,388 |
1,177 |
$54K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
14 |
$601.44 |
| 90674 |
|
27 |
25 |
$367.04 |
| 99406 |
|
19 |
17 |
$340.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
14 |
$311.25 |
| 36415 |
Collection of venous blood by venipuncture |
157 |
138 |
$260.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
27 |
$221.92 |
| 81002 |
|
126 |
106 |
$135.42 |
| 80061 |
Lipid panel |
14 |
12 |
$72.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |