| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,223 |
1,012 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
525 |
475 |
$43.23 |
| 36415 |
Collection of venous blood by venipuncture |
137 |
121 |
$3.17 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
197 |
184 |
$0.00 |
| 90686 |
|
26 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
134 |
132 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
57 |
$0.00 |
| 90461 |
|
41 |
41 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
134 |
131 |
$0.00 |