| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,585 |
3,604 |
$747K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
42 |
42 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
281 |
271 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$3K |
| 90715 |
|
58 |
58 |
$2K |
| 90688 |
|
225 |
225 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
132 |
132 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
79 |
$748.99 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
286 |
$646.14 |
| 99051 |
|
40 |
40 |
$629.28 |
| 99050 |
|
13 |
13 |
$366.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$140.40 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
82 |
$114.84 |
| 81002 |
|
43 |
42 |
$102.18 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$15.41 |