| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
35,726 |
29,257 |
$3.72M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
915 |
778 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,720 |
3,440 |
$46K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,091 |
1,960 |
$42K |
| 87428 |
|
573 |
517 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,442 |
17,290 |
$26K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,316 |
1,068 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,097 |
948 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,376 |
6,034 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
351 |
215 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,229 |
1,107 |
$4K |
| 90670 |
|
598 |
511 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
881 |
786 |
$3K |
| 87807 |
|
177 |
175 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
521 |
450 |
$2K |
| 90648 |
|
229 |
192 |
$1K |
| 90680 |
|
193 |
169 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
719 |
613 |
$1K |
| 90633 |
|
182 |
161 |
$1K |
| 90686 |
|
110 |
107 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
63 |
61 |
$1K |
| 81002 |
|
357 |
320 |
$936.00 |
| 36415 |
Collection of venous blood by venipuncture |
485 |
413 |
$782.00 |
| 90723 |
|
73 |
59 |
$464.00 |
| 81025 |
|
109 |
95 |
$258.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$166.33 |
| 90688 |
|
14 |
14 |
$112.00 |
| 90677 |
|
14 |
14 |
$112.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$93.57 |
| 90651 |
|
28 |
25 |
$88.00 |
| 90619 |
|
12 |
12 |
$88.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
35 |
27 |
$23.66 |