| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,999 |
1,717 |
$216K |
| 99050 |
|
505 |
420 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
610 |
502 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
448 |
407 |
$425.39 |
| 87428 |
|
589 |
408 |
$201.07 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
80 |
$193.51 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
81 |
$78.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
874 |
706 |
$64.64 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
238 |
233 |
$38.07 |
| 87807 |
|
26 |
13 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
229 |
224 |
$0.00 |