| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,457 |
18,328 |
$2.62M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
403 |
304 |
$176.65 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,823 |
10,052 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,034 |
2,240 |
$0.00 |
| 3074F |
|
382 |
319 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
279 |
231 |
$0.00 |
| 87428 |
|
372 |
354 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
113 |
70 |
$0.00 |
| 87430 |
|
88 |
85 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
57 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
117 |
111 |
$0.00 |
| 90686 |
|
45 |
30 |
$0.00 |
| 3080F |
|
84 |
78 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
60 |
40 |
$0.00 |
| 87070 |
|
13 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
90 |
53 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,207 |
857 |
$0.00 |
| 3077F |
|
84 |
79 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
366 |
342 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
49 |
$0.00 |
| 81003 |
|
476 |
370 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
484 |
291 |
$0.00 |
| 99173 |
|
208 |
176 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$0.00 |
| 3078F |
|
379 |
318 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
42 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$0.00 |