| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,439 |
10,700 |
$1.26M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,311 |
8,973 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,195 |
958 |
$2K |
| 87428 |
|
63 |
49 |
$228.90 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
66 |
52 |
$62.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$55.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
323 |
232 |
$43.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
87 |
47 |
$22.24 |
| 99307 |
|
33 |
24 |
$0.00 |
| 3078F |
|
80 |
71 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
28 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
79 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
30 |
25 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
15 |
$0.00 |
| 3074F |
|
115 |
102 |
$0.00 |
| 87430 |
|
20 |
12 |
$0.00 |
| 90686 |
|
31 |
12 |
$0.00 |