| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,161 |
4,318 |
$838K |
| 87428 |
|
1,293 |
1,039 |
$62K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
75 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
14 |
$549.09 |
| 36415 |
Collection of venous blood by venipuncture |
38 |
37 |
$54.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
53 |
$48.90 |
| 81003 |
|
126 |
118 |
$0.46 |
| 1000F |
|
560 |
506 |
$0.01 |
| 1160F |
|
2,230 |
1,826 |
$0.01 |
| 3079F |
|
226 |
208 |
$0.00 |
| 1036F |
|
336 |
306 |
$0.00 |
| 1034F |
|
159 |
143 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
220 |
194 |
$0.00 |
| 1220F |
|
223 |
205 |
$0.00 |
| 3074F |
|
534 |
475 |
$0.00 |
| 4000F |
|
78 |
73 |
$0.00 |
| 87430 |
|
435 |
389 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1159F |
|
1,408 |
1,188 |
$0.00 |
| 4004F |
|
42 |
39 |
$0.00 |
| 3078F |
|
423 |
383 |
$0.00 |
| 1032F |
|
33 |
29 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
261 |
210 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$0.00 |