| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
511 |
428 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
554 |
503 |
$4K |
| 99499 |
|
217 |
179 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
121 |
73 |
$1K |
| 91320 |
|
57 |
57 |
$1K |
| 90480 |
|
65 |
65 |
$474.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
108 |
$322.07 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
20 |
$185.90 |
| 11721 |
|
12 |
12 |
$137.50 |
| 90656 |
|
30 |
30 |
$120.00 |
| 36415 |
Collection of venous blood by venipuncture |
46 |
46 |
$57.96 |
| 90686 |
|
59 |
59 |
$40.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
73 |
$30.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$15.00 |