| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,725 |
4,544 |
$310K |
| 99199 |
Unlisted special service, procedure or report |
14,796 |
9,764 |
$86K |
| 99401 |
|
566 |
195 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
392 |
160 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
29 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
347 |
231 |
$608.97 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
323 |
137 |
$546.07 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$160.27 |
| 96127 |
|
79 |
34 |
$39.93 |
| 85018 |
|
16 |
14 |
$9.03 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$8.75 |
| 99173 |
|
31 |
28 |
$3.00 |
| 92551 |
|
32 |
29 |
$3.00 |
| 97802 |
|
14 |
12 |
$0.01 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
480 |
383 |
$0.00 |