| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,524 |
7,110 |
$876K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,038 |
603 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,098 |
5,977 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
395 |
212 |
$38.96 |
| 81002 |
|
860 |
607 |
$8.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
30 |
$7.46 |
| 99173 |
|
28 |
24 |
$0.00 |
| 86328 |
|
22 |
13 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
15 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 96127 |
|
127 |
101 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
378 |
292 |
$0.00 |
| 90686 |
|
27 |
17 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
612 |
491 |
$0.00 |
| 1000F |
|
64 |
37 |
$0.00 |
| 92551 |
|
16 |
12 |
$0.00 |