| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,412 |
1,863 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,600 |
1,255 |
$56K |
| 90832 |
Psychotherapy, 30 minutes with patient |
801 |
304 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
279 |
193 |
$12K |
| 90834 |
Psychotherapy, 45 minutes with patient |
311 |
141 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
16 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
178 |
65 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
27 |
16 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
30 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
13 |
$636.28 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
17 |
$565.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
26 |
$252.39 |
| 90619 |
|
35 |
18 |
$0.00 |
| 1160F |
|
886 |
413 |
$0.00 |
| 90461 |
|
35 |
18 |
$0.00 |
| 1159F |
|
81 |
66 |
$0.00 |
| 90715 |
|
32 |
16 |
$0.00 |