| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,270 |
3,288 |
$532K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,909 |
1,697 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
670 |
566 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
79 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
51 |
$971.92 |
| 0011A |
|
21 |
13 |
$440.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
71 |
41 |
$394.52 |
| 0012A |
|
12 |
12 |
$360.00 |
| 99383 |
|
12 |
12 |
$248.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
71 |
$137.68 |
| 90688 |
|
14 |
14 |
$0.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
42 |
$0.00 |
| 92552 |
|
17 |
17 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
42 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
71 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
27 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |