| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,915 |
3,521 |
$824K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
86 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
83 |
$969.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
18 |
$553.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
28 |
$123.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
16 |
$62.28 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$13.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$13.89 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |