| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,337 |
1,206 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
210 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
389 |
386 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
545 |
532 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
227 |
107 |
$2K |
| 90461 |
|
51 |
51 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 99177 |
|
39 |
39 |
$589.29 |
| 81002 |
|
141 |
134 |
$365.40 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
12 |
$344.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$133.44 |