| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,134 |
1,019 |
$142K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
122 |
120 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
101 |
100 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
176 |
$0.00 |
| 87400 |
|
58 |
27 |
$0.00 |
| 3210F |
|
48 |
45 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
56 |
$0.00 |
| 1160F |
|
16 |
15 |
$0.00 |
| 1159F |
|
21 |
18 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
425 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
53 |
$0.00 |
| 2001F |
|
121 |
105 |
$0.00 |
| G9273 |
Blood pressure has a systolic value of < 140 and a diastolic value of < 90 |
79 |
70 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
12 |
12 |
$0.00 |