| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,783 |
3,799 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
558 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,051 |
863 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,982 |
2,466 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
290 |
129 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
53 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
69 |
$871.10 |
| 90688 |
|
47 |
45 |
$657.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
32 |
$427.90 |
| 80061 |
Lipid panel |
27 |
25 |
$191.71 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$42.22 |
| 99000 |
|
58 |
51 |
$36.91 |
| 3008F |
|
139 |
116 |
$0.00 |