| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,371 |
6,286 |
$610K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,363 |
3,286 |
$110.85 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
171 |
127 |
$35.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
277 |
228 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
42 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,037 |
755 |
$0.00 |
| 87428 |
|
281 |
237 |
$0.00 |