| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
217 |
142 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
28 |
$801.50 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$276.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
52 |
$74.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
98 |
$0.00 |