| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,000 |
12,903 |
$1.61M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,040 |
6,856 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,783 |
2,532 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
2,339 |
2,171 |
$28K |
| D0999 |
Unspecified diagnostic procedure, by report |
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
55 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
154 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
312 |
144 |
$759.18 |
| 90686 |
|
29 |
29 |
$475.18 |
| 90674 |
|
21 |
19 |
$386.13 |
| 3078F |
|
1,526 |
1,380 |
$80.39 |
| 3074F |
|
1,794 |
1,614 |
$70.38 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
229 |
214 |
$41.38 |
| 3077F |
|
365 |
334 |
$25.00 |
| 3079F |
|
786 |
719 |
$25.00 |
| 3075F |
|
317 |
297 |
$10.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
654 |
401 |
$0.00 |
| 1160F |
|
2,472 |
2,178 |
$0.00 |
| 1159F |
|
2,470 |
2,176 |
$0.00 |
| 3725F |
|
798 |
733 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
39 |
$0.00 |
| D1999 |
|
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |
| 1035F |
|
186 |
161 |
$0.00 |
| 1036F |
|
1,633 |
1,422 |
$0.00 |
| 3080F |
|
212 |
195 |
$0.00 |
| 3008F |
|
2,785 |
2,494 |
$0.00 |
| 1034F |
|
818 |
703 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 87807 |
|
13 |
13 |
$0.00 |