| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,943 |
2,149 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,148 |
854 |
$105K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,161 |
2,342 |
$30K |
| 99050 |
|
1,563 |
1,229 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
535 |
448 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
451 |
364 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
520 |
436 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
630 |
510 |
$6K |
| 81002 |
|
1,254 |
986 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
114 |
90 |
$3K |
| 87631 |
|
451 |
361 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
156 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
172 |
148 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 80053 |
Comprehensive metabolic panel |
244 |
197 |
$1K |
| 96127 |
|
71 |
70 |
$201.88 |
| 82150 |
|
14 |
13 |
$117.65 |
| 86308 |
|
16 |
14 |
$101.15 |
| 36415 |
Collection of venous blood by venipuncture |
2,796 |
2,065 |
$0.00 |
| 87260 |
|
86 |
68 |
$0.00 |