| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,420 |
13,677 |
$1.81M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
410 |
345 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,534 |
2,367 |
$31K |
| 90670 |
|
603 |
590 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
588 |
555 |
$12K |
| 90698 |
|
673 |
653 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,493 |
8,519 |
$8K |
| 87428 |
|
130 |
116 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
453 |
428 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
879 |
820 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
81 |
$2K |
| 90680 |
|
121 |
119 |
$2K |
| 90633 |
|
126 |
124 |
$1K |
| 90677 |
|
44 |
39 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
44 |
39 |
$1K |
| 90686 |
|
70 |
69 |
$669.24 |
| 87807 |
|
56 |
54 |
$584.78 |
| 90688 |
|
62 |
61 |
$531.86 |
| 90716 |
|
15 |
15 |
$348.04 |
| 90744 |
|
32 |
30 |
$255.05 |
| 90707 |
|
15 |
15 |
$245.84 |
| 90710 |
|
27 |
27 |
$208.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
94 |
$17.85 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
150 |
123 |
$0.00 |
| 92551 |
|
193 |
186 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
301 |
278 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
197 |
156 |
$0.00 |
| 99173 |
|
433 |
386 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
58 |
$0.00 |