| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,155 |
2,521 |
$397K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,636 |
2,834 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
82 |
$441.66 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
32 |
31 |
$165.52 |
| 87400 |
|
56 |
53 |
$58.29 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
41 |
$9.67 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
14 |
$0.00 |
| 81003 |
|
16 |
16 |
$0.00 |
| 90686 |
|
39 |
38 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
61 |
$0.00 |