| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,200 |
2,095 |
$506K |
| 3078F |
|
1,324 |
849 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
17 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
25 |
$0.00 |
| 3077F |
|
345 |
193 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
25 |
25 |
$0.00 |
| 1159F |
|
2,845 |
1,822 |
$0.00 |
| 1160F |
|
306 |
248 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$0.00 |
| 99401 |
|
21 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,101 |
821 |
$0.00 |
| 3074F |
|
1,155 |
776 |
$0.00 |
| 3008F |
|
2,255 |
1,403 |
$0.00 |
| 4010F |
|
769 |
459 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,542 |
953 |
$0.00 |
| 3044F |
|
298 |
216 |
$0.00 |
| 3075F |
|
462 |
292 |
$0.00 |
| 3079F |
|
659 |
423 |
$0.00 |
| 3080F |
|
19 |
12 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
67 |
40 |
$0.00 |