| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,836 |
2,179 |
$580K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,698 |
1,336 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
638 |
554 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
441 |
399 |
$3K |
| 87428 |
|
201 |
177 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
25 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
19 |
$832.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
577 |
475 |
$680.19 |
| 90686 |
|
215 |
192 |
$308.50 |
| 90656 |
|
57 |
57 |
$22.14 |
| 90620 |
|
144 |
124 |
$12.00 |
| 1126F |
|
38 |
38 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 1036F |
|
101 |
87 |
$0.00 |
| 3074F |
|
110 |
95 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
97 |
85 |
$0.00 |
| 1160F |
|
99 |
85 |
$0.00 |
| 1159F |
|
99 |
85 |
$0.00 |
| 3078F |
|
104 |
91 |
$0.00 |
| 99173 |
|
40 |
40 |
$0.00 |