| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,167 |
949 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
241 |
$13K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
199 |
166 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
414 |
174 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$319.66 |
| 90686 |
|
32 |
31 |
$314.63 |
| 90688 |
|
14 |
12 |
$96.00 |
| 36415 |
Collection of venous blood by venipuncture |
83 |
58 |
$96.00 |
| 92551 |
|
19 |
18 |
$80.00 |
| 99173 |
|
15 |
14 |
$60.00 |
| 36416 |
|
14 |
14 |
$35.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
27 |
$0.27 |
| 1159F |
|
1,499 |
1,137 |
$0.00 |
| 1160F |
|
1,499 |
1,137 |
$0.00 |
| 3078F |
|
815 |
656 |
$0.00 |
| 99080 |
|
15 |
12 |
$0.00 |
| 1036F |
|
854 |
635 |
$0.00 |
| 3008F |
|
1,913 |
1,509 |
$0.00 |
| 3074F |
|
1,051 |
845 |
$0.00 |
| 3079F |
|
130 |
99 |
$0.00 |