| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,950 |
1,691 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,299 |
1,904 |
$82K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
399 |
294 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
804 |
638 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
78 |
$7K |
| 92551 |
|
413 |
336 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
149 |
$2K |
| 36416 |
|
520 |
412 |
$1K |
| 81002 |
|
422 |
339 |
$1K |
| 99173 |
|
134 |
93 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
37 |
18 |
$445.74 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
14 |
$393.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
40 |
$389.63 |
| 90686 |
|
140 |
94 |
$44.50 |
| 90461 |
|
30 |
25 |
$22.52 |
| 99000 |
|
80 |
54 |
$0.00 |
| 99072 |
|
93 |
49 |
$0.00 |