| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,008 |
1,807 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,362 |
771 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
697 |
387 |
$14K |
| 99384 |
|
30 |
15 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
185 |
101 |
$995.55 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
13 |
$172.78 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
28 |
$60.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
123 |
117 |
$0.00 |
| 3078F |
|
490 |
263 |
$0.00 |
| 4004F |
|
367 |
220 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
33 |
13 |
$0.00 |
| 1034F |
|
387 |
252 |
$0.00 |
| 3074F |
|
536 |
291 |
$0.00 |
| 1000F |
|
1,121 |
657 |
$0.00 |
| 1036F |
|
1,798 |
1,172 |
$0.00 |
| 90686 |
|
20 |
19 |
$0.00 |
| 3079F |
|
109 |
55 |
$0.00 |
| 3008F |
|
54 |
44 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
15 |
$0.00 |
| 3075F |
|
133 |
73 |
$0.00 |
| 99349 |
|
73 |
68 |
$0.00 |