| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,761 |
5,525 |
$329K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,091 |
4,930 |
$237K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,021 |
2,476 |
$14K |
| 90756 |
|
71 |
58 |
$788.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
26 |
$714.09 |
| 36415 |
Collection of venous blood by venipuncture |
143 |
130 |
$347.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
65 |
56 |
$343.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
26 |
$335.39 |
| 99490 |
Ccm add 20min |
141 |
126 |
$316.53 |
| 80061 |
Lipid panel |
15 |
13 |
$28.86 |
| 80053 |
Comprehensive metabolic panel |
22 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |