| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,564 |
13,069 |
$1.39M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,914 |
7,883 |
$85K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
596 |
500 |
$45K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,490 |
3,308 |
$40K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
762 |
689 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,564 |
1,449 |
$21K |
| 36416 |
|
8,277 |
7,352 |
$16K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
254 |
240 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
429 |
260 |
$5K |
| 92551 |
|
539 |
519 |
$2K |
| 99173 |
|
518 |
493 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
294 |
273 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
719 |
613 |
$1K |
| 90633 |
|
39 |
35 |
$256.00 |
| 90658 |
|
28 |
28 |
$224.00 |
| 90649 |
|
14 |
13 |
$96.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
262 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,809 |
11,240 |
$0.00 |