| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,340 |
3,944 |
$855K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
266 |
257 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,891 |
2,387 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
362 |
344 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
326 |
158 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
673 |
585 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
253 |
236 |
$758.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
621 |
566 |
$571.12 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
77 |
$497.07 |
| 99173 |
|
102 |
102 |
$460.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
96 |
90 |
$447.00 |
| 90791 |
Psychiatric diagnostic evaluation |
76 |
67 |
$425.00 |
| 92551 |
|
48 |
48 |
$220.00 |
| 90686 |
|
13 |
12 |
$209.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
175 |
160 |
$152.88 |
| 90715 |
|
16 |
16 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
18 |
$0.00 |