| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,550 |
2,742 |
$456K |
| 87428 |
|
252 |
222 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
722 |
633 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,613 |
1,349 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
49 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
24 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
25 |
$0.00 |
| 3074F |
|
208 |
181 |
$0.00 |
| 87430 |
|
112 |
101 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
38 |
$0.00 |
| 99173 |
|
44 |
39 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
55 |
$0.00 |
| 3078F |
|
206 |
180 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
28 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |