| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
9,108 |
6,921 |
$1.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,194 |
3,285 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
342 |
306 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,564 |
2,257 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
353 |
320 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
147 |
133 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
61 |
60 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
303 |
250 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
251 |
213 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
220 |
194 |
$939.97 |
| 90698 |
|
107 |
87 |
$648.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
131 |
$540.19 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
198 |
157 |
$387.08 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
192 |
161 |
$377.04 |
| 87807 |
|
34 |
33 |
$374.00 |
| 90677 |
|
50 |
43 |
$328.00 |
| 90680 |
|
49 |
41 |
$296.00 |
| 90671 |
|
46 |
40 |
$296.00 |
| 83655 |
|
16 |
16 |
$225.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
16 |
$192.00 |
| 90670 |
|
21 |
18 |
$136.00 |
| 90633 |
|
15 |
15 |
$120.00 |
| 90658 |
|
15 |
14 |
$104.00 |
| 86308 |
|
14 |
14 |
$84.00 |
| 90744 |
|
16 |
12 |
$80.00 |
| 3074F |
|
127 |
114 |
$0.00 |
| 3078F |
|
107 |
98 |
$0.00 |