| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,306 |
1,236 |
$268K |
| G9012 |
Other specified case management service not elsewhere classified |
257 |
257 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
228 |
218 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
889 |
834 |
$13K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
306 |
300 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
34 |
$4K |
| 80305 |
|
265 |
223 |
$3K |
| 99051 |
|
46 |
46 |
$905.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
36 |
$481.29 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$473.46 |
| 3008F |
|
88 |
80 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
349 |
337 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
427 |
410 |
$0.00 |