| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,172 |
1,331 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,141 |
848 |
$2K |
| 90686 |
|
58 |
49 |
$338.18 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
54 |
$93.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
61 |
$88.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$43.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$24.66 |
| 3074F |
|
136 |
126 |
$0.00 |
| 1170F |
|
263 |
228 |
$0.00 |
| 1126F |
|
140 |
122 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
15 |
$0.00 |
| 3079F |
|
30 |
29 |
$0.00 |
| 1160F |
|
263 |
222 |
$0.00 |
| 3078F |
|
111 |
107 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
193 |
170 |
$0.00 |
| 1159F |
|
267 |
230 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
49 |
$0.00 |