| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,600 |
13,650 |
$1.97M |
| 90651 |
|
111 |
66 |
$874.84 |
| 90633 |
|
220 |
131 |
$324.57 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,043 |
889 |
$247.31 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,813 |
7,349 |
$123.12 |
| 90686 |
|
294 |
210 |
$38.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,291 |
1,098 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
852 |
681 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
386 |
232 |
$0.00 |
| 80061 |
Lipid panel |
51 |
51 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
311 |
226 |
$0.00 |
| 90734 |
|
79 |
54 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
225 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
53 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
264 |
179 |
$0.00 |
| 99173 |
|
140 |
131 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
633 |
351 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 99201 |
|
229 |
154 |
$0.00 |
| 3078F |
|
230 |
205 |
$0.00 |
| 90715 |
|
17 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
461 |
414 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,186 |
848 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,503 |
1,873 |
$0.00 |
| 87428 |
|
893 |
835 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
791 |
738 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
446 |
385 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
309 |
278 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
37 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
128 |
119 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
46 |
32 |
$0.00 |
| 3074F |
|
232 |
205 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
13 |
$0.00 |
| 87807 |
|
36 |
34 |
$0.00 |