| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,701 |
3,866 |
$1.17M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,114 |
2,617 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
687 |
314 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$434.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$310.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
155 |
$97.23 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
98 |
72 |
$90.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
119 |
$55.60 |
| 36415 |
Collection of venous blood by venipuncture |
231 |
225 |
$2.00 |
| 81003 |
|
26 |
24 |
$1.89 |
| 90670 |
|
24 |
24 |
$0.00 |
| 90461 |
|
101 |
86 |
$0.00 |
| 99000 |
|
50 |
48 |
$0.00 |
| 90651 |
|
27 |
25 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |
| 90686 |
|
15 |
14 |
$0.00 |