| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
821 |
761 |
$101K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
59 |
57 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
36 |
$873.25 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$264.60 |
| 80061 |
Lipid panel |
12 |
12 |
$180.84 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$178.20 |
| 84439 |
|
14 |
14 |
$142.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
15 |
$131.10 |