| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,385 |
1,678 |
$286K |
| 99199 |
Unlisted special service, procedure or report |
16,419 |
14,971 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
190 |
158 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
143 |
118 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
242 |
185 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
25 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
91 |
$1K |
| 96160 |
|
317 |
300 |
$982.66 |
| 86580 |
|
52 |
25 |
$204.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$122.50 |
| 92551 |
|
572 |
522 |
$30.00 |
| 99173 |
|
562 |
512 |
$15.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
122 |
86 |
$0.00 |