| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
774 |
648 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
239 |
205 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
270 |
233 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
69 |
58 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
130 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
177 |
158 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
117 |
86 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
237 |
190 |
$1K |
| 99490 |
Ccm add 20min |
180 |
173 |
$844.44 |
| 90756 |
|
12 |
12 |
$322.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
24 |
$300.66 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
47 |
41 |
$281.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
12 |
$268.83 |
| 81003 |
|
125 |
107 |
$191.28 |
| 99072 |
|
49 |
37 |
$125.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
15 |
$120.26 |
| 36415 |
Collection of venous blood by venipuncture |
285 |
237 |
$62.65 |
| 99318 |
|
16 |
16 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
39 |
32 |
$0.00 |