| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,658 |
1,347 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
128 |
118 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
221 |
192 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
94 |
83 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
468 |
410 |
$624.92 |
| 87430 |
|
53 |
50 |
$474.48 |
| 90686 |
|
12 |
12 |
$196.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$115.31 |
| 81003 |
|
70 |
51 |
$95.85 |
| 36416 |
|
35 |
27 |
$57.55 |