| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
788 |
710 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
602 |
528 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
206 |
176 |
$486.58 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
12 |
$463.03 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
54 |
50 |
$457.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
47 |
$390.65 |
| 90686 |
|
29 |
28 |
$289.35 |