| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,203 |
2,671 |
$462K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,303 |
1,136 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
175 |
$10K |
| 99000 |
|
714 |
664 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
33 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
114 |
99 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
168 |
151 |
$863.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
97 |
$277.80 |
| 90686 |
|
27 |
25 |
$188.81 |
| 81003 |
|
46 |
44 |
$17.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
54 |
$15.68 |
| 36415 |
Collection of venous blood by venipuncture |
473 |
464 |
$0.00 |