| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
8,133 |
6,954 |
$1.60M |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,014 |
4,298 |
$508K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
747 |
663 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,530 |
977 |
$3K |
| 99215 |
Prolong outpt/office vis |
136 |
133 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
21 |
$741.93 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
26 |
$422.68 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
929 |
769 |
$122.86 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
12 |
$57.20 |
| 92551 |
|
27 |
22 |
$44.88 |
| 90832 |
Psychotherapy, 30 minutes with patient |
48 |
26 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 3074F |
|
27 |
26 |
$0.00 |