| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,846 |
10,285 |
$891K |
| 99199 |
Unlisted special service, procedure or report |
41,920 |
27,110 |
$219K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,122 |
5,240 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,742 |
1,377 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
785 |
698 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
539 |
485 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
60 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
302 |
139 |
$4K |
| 3008F |
|
7,416 |
6,169 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 90686 |
|
328 |
301 |
$857.68 |
| 92552 |
|
430 |
363 |
$616.36 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
15 |
13 |
$496.56 |
| 99173 |
|
454 |
384 |
$53.00 |
| 90656 |
|
29 |
28 |
$0.00 |
| 1159F |
|
104 |
93 |
$0.00 |
| 1160F |
|
104 |
93 |
$0.00 |
| 3078F |
|
28 |
24 |
$0.00 |