| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,841 |
35,159 |
$2.84M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,554 |
1,306 |
$130K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,217 |
1,710 |
$122K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,584 |
2,372 |
$105K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,353 |
4,292 |
$95K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,042 |
4,462 |
$62K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,183 |
2,768 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,990 |
3,634 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,010 |
14,711 |
$12K |
| 81002 |
|
3,991 |
3,555 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,497 |
19,391 |
$9K |
| 87807 |
|
856 |
785 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,467 |
1,289 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
796 |
668 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
217 |
200 |
$3K |
| 90658 |
|
358 |
306 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
809 |
712 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,418 |
1,285 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
459 |
357 |
$1K |
| 80305 |
|
150 |
138 |
$996.29 |
| 0012A |
|
21 |
20 |
$760.00 |
| 69210 |
|
35 |
25 |
$720.00 |
| 0011A |
|
17 |
17 |
$640.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
51 |
$611.00 |
| 81003 |
|
238 |
208 |
$609.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
81 |
51 |
$588.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,294 |
1,046 |
$396.00 |
| 90461 |
|
20 |
17 |
$311.00 |
| 81025 |
|
12 |
12 |
$36.00 |
| 91301 |
|
44 |
42 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 99406 |
|
16 |
13 |
$0.00 |