| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,221 |
3,256 |
$1.49M |
| D0999 |
Unspecified diagnostic procedure, by report |
417 |
252 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,554 |
2,799 |
$382.21 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,445 |
346 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
987 |
321 |
$0.00 |
| 94760 |
|
2,228 |
330 |
$0.00 |
| 87430 |
|
1,806 |
417 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
86 |
68 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
137 |
24 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
13 |
$0.00 |
| 87081 |
|
228 |
42 |
$0.00 |