| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,793 |
1,423 |
$126K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
258 |
195 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,220 |
1,035 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
67 |
$155.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
71 |
$111.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$49.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$20.15 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
27 |
$0.00 |