| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,436 |
1,689 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
825 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
60 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
170 |
79 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
264 |
$932.25 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
38 |
34 |
$591.12 |
| 92551 |
|
90 |
84 |
$360.75 |
| 99173 |
|
134 |
116 |
$350.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
319 |
117 |
$347.27 |
| 90686 |
|
19 |
19 |
$342.54 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
16 |
$84.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
38 |
$80.45 |
| 90832 |
Psychotherapy, 30 minutes with patient |
106 |
81 |
$58.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
21 |
$15.00 |