| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
10,109 |
7,452 |
$4.27M |
| 00003 |
Internal/system code - not a standard HCPCS code |
1,146 |
988 |
$637K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
994 |
908 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
377 |
357 |
$15K |
| 99188 |
|
116 |
105 |
$719.00 |
| 90686 |
|
86 |
86 |
$9.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
467 |
422 |
$0.00 |
| 99442 |
|
67 |
60 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
177 |
169 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
53 |
43 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
254 |
243 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
358 |
324 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
189 |
177 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
88 |
$0.00 |
| 99441 |
|
72 |
68 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
20 |
18 |
$0.00 |