| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,047 |
6,015 |
$1.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,962 |
4,202 |
$26K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,280 |
880 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,320 |
936 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
32 |
$324.10 |
| 90686 |
|
19 |
19 |
$324.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
460 |
367 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
64 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$0.00 |