| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,702 |
5,949 |
$277K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
307 |
289 |
$18K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
810 |
753 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
16 |
16 |
$565.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
29 |
$360.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$214.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$191.25 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
68 |
$187.00 |
| 36416 |
|
736 |
677 |
$6.54 |
| 99000 |
|
27 |
25 |
$0.00 |