| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,399 |
1,174 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
308 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
111 |
108 |
$806.53 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
30 |
$460.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$224.29 |
| 90686 |
|
22 |
22 |
$75.00 |
| 81000 |
|
14 |
12 |
$32.06 |