| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
895 |
766 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
836 |
763 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,009 |
956 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,981 |
1,850 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
196 |
179 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
156 |
150 |
$324.56 |
| 90651 |
|
272 |
262 |
$162.00 |
| 90688 |
|
17 |
17 |
$102.00 |
| 86738 |
|
30 |
15 |
$101.04 |
| 90734 |
|
228 |
217 |
$60.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
216 |
208 |
$7.41 |
| 90656 |
|
25 |
25 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
162 |
155 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
63 |
55 |
$0.00 |
| 0011A |
|
15 |
14 |
$0.00 |
| 90716 |
|
30 |
29 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |
| 90670 |
|
145 |
144 |
$0.00 |
| 90707 |
|
31 |
30 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 90715 |
|
20 |
20 |
$0.00 |