| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,551 |
11,121 |
$1.29M |
| 90686 |
|
329 |
294 |
$228.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
316 |
155 |
$186.12 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
600 |
488 |
$109.06 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
272 |
259 |
$70.66 |
| 81003 |
|
2,451 |
1,625 |
$32.22 |
| 90688 |
|
40 |
35 |
$17.84 |
| 85018 |
|
556 |
459 |
$2.32 |
| 90837 |
Psychotherapy, 53 minutes with patient |
299 |
148 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
208 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
129 |
103 |
$0.00 |
| 0502F |
|
645 |
363 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
141 |
124 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
185 |
173 |
$0.00 |
| 90670 |
|
72 |
60 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
116 |
105 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,259 |
2,734 |
$0.00 |
| 96127 |
|
126 |
119 |
$0.00 |
| 87428 |
|
332 |
319 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,339 |
4,293 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
637 |
472 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
101 |
99 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
125 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |