| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,856 |
12,592 |
$2.42M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
446 |
380 |
$68K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,877 |
1,623 |
$42K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
125 |
123 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,757 |
1,331 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,190 |
1,098 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,246 |
7,046 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,900 |
3,140 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
613 |
478 |
$4K |
| 90686 |
|
312 |
247 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
553 |
514 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
266 |
241 |
$592.80 |
| 36415 |
Collection of venous blood by venipuncture |
250 |
202 |
$396.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
131 |
$308.82 |
| 90734 |
|
50 |
44 |
$224.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
215 |
172 |
$167.91 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
183 |
171 |
$160.65 |
| 81002 |
|
85 |
65 |
$135.92 |
| 87807 |
|
12 |
12 |
$132.00 |
| 90651 |
|
30 |
27 |
$104.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
37 |
$47.60 |
| 85018 |
|
13 |
13 |
$39.00 |
| 82962 |
|
25 |
12 |
$33.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$20.15 |
| 90674 |
|
22 |
21 |
$16.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
406 |
317 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
14 |
$0.00 |