| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,685 |
4,833 |
$847K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,659 |
2,322 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
402 |
358 |
$11K |
| 87428 |
|
333 |
294 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
881 |
708 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
727 |
647 |
$7K |
| 81025 |
|
327 |
264 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
57 |
53 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
60 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
263 |
167 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
101 |
96 |
$1K |
| 87807 |
|
49 |
40 |
$482.28 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
174 |
$448.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
265 |
256 |
$209.88 |
| 81003 |
|
84 |
76 |
$127.52 |
| 81002 |
|
34 |
29 |
$81.29 |
| 0002A |
|
31 |
28 |
$80.00 |
| 96127 |
|
63 |
50 |
$43.21 |
| 99173 |
|
162 |
156 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$0.00 |
| 90461 |
|
27 |
27 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
35 |
35 |
$0.00 |
| 90734 |
|
58 |
58 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
197 |
187 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
41 |
39 |
$0.00 |
| 86308 |
|
86 |
70 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$0.00 |
| 0001A |
|
20 |
15 |
$0.00 |
| 92551 |
|
60 |
53 |
$0.00 |