| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
4,105 |
2,541 |
$774K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
433 |
401 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,266 |
1,541 |
$607.83 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
17 |
$553.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
697 |
565 |
$370.14 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
32 |
31 |
$7.71 |
| 99173 |
|
45 |
45 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$0.00 |
| 86580 |
|
38 |
38 |
$0.00 |
| 92551 |
|
42 |
41 |
$0.00 |
| 90686 |
|
150 |
136 |
$0.00 |
| 87428 |
|
42 |
33 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 87430 |
|
41 |
31 |
$0.00 |