| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,859 |
3,876 |
$681K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,290 |
1,463 |
$274.10 |
| 3044F |
|
594 |
454 |
$170.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,277 |
1,772 |
$9.30 |
| 3078F |
|
2,706 |
1,833 |
$0.00 |
| 1159F |
|
4,509 |
3,120 |
$0.00 |
| 1160F |
|
3,374 |
2,333 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
388 |
179 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
161 |
$0.00 |
| 3725F |
|
302 |
128 |
$0.00 |
| 87400 |
|
98 |
48 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
91 |
68 |
$0.00 |
| 82947 |
|
43 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
20 |
12 |
$0.00 |
| 90656 |
|
56 |
43 |
$0.00 |
| 3008F |
|
3,145 |
2,104 |
$0.00 |
| 3074F |
|
2,540 |
1,743 |
$0.00 |
| 4010F |
|
51 |
40 |
$0.00 |
| 90686 |
|
67 |
44 |
$0.00 |
| 1036F |
|
186 |
82 |
$0.00 |
| 1031F |
|
112 |
44 |
$0.00 |
| 1126F |
|
238 |
95 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
229 |
160 |
$0.00 |
| 1034F |
|
89 |
33 |
$0.00 |