| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,127 |
360 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
285 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
37 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
322 |
115 |
$769.73 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
159 |
$718.96 |
| 87400 |
|
136 |
40 |
$276.95 |
| 99215 |
Prolong outpt/office vis |
40 |
15 |
$176.57 |
| 81002 |
|
439 |
202 |
$146.16 |
| 36415 |
Collection of venous blood by venipuncture |
117 |
60 |
$15.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
26 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
87 |
33 |
$0.00 |