| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,885 |
4,273 |
$974K |
| 3725F |
|
442 |
412 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
87 |
82 |
$419.28 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264 |
248 |
$382.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,083 |
992 |
$209.85 |
| 92552 |
|
36 |
36 |
$209.85 |
| 99173 |
|
319 |
314 |
$14.11 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,431 |
1,281 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,222 |
1,191 |
$0.00 |
| 3008F |
|
399 |
313 |
$0.00 |
| 92551 |
|
47 |
46 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
654 |
635 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
84 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
317 |
314 |
$0.00 |
| 90670 |
|
64 |
62 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
46 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
66 |
64 |
$0.00 |