| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,570 |
8,720 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,910 |
5,936 |
$0.00 |
| 87081 |
|
85 |
83 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
834 |
785 |
$0.00 |
| 3080F |
|
112 |
102 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
39 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
174 |
$0.00 |
| 87428 |
|
292 |
276 |
$0.00 |
| 87430 |
|
102 |
100 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
76 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
43 |
43 |
$0.00 |
| 3074F |
|
385 |
355 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
61 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
16 |
$0.00 |
| 90686 |
|
18 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
86 |
$0.00 |
| 3078F |
|
385 |
355 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
60 |
$0.00 |
| 99173 |
|
42 |
41 |
$0.00 |
| 3077F |
|
114 |
104 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16 |
15 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |