| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,240 |
15,770 |
$3.04M |
| 99199 |
Unlisted special service, procedure or report |
32,543 |
16,932 |
$203K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
835 |
449 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,552 |
2,061 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
29 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
135 |
95 |
$2K |
| 92551 |
|
302 |
176 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
26 |
$349.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
24 |
$318.99 |
| 81000 |
|
129 |
69 |
$278.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
92 |
$257.55 |
| 81025 |
|
65 |
28 |
$211.00 |
| 82962 |
|
66 |
39 |
$176.39 |
| 87430 |
|
12 |
12 |
$131.13 |
| 99173 |
|
216 |
129 |
$125.97 |
| 90834 |
Psychotherapy, 45 minutes with patient |
337 |
223 |
$0.00 |
| 86804 |
|
12 |
12 |
$0.00 |
| 96161 |
|
75 |
30 |
$0.00 |
| 96127 |
|
78 |
32 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
741 |
353 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
13 |
$0.00 |