| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,384 |
9,336 |
$1.87M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,381 |
2,050 |
$35K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,705 |
3,269 |
$33K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,175 |
1,016 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,499 |
5,350 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,837 |
1,614 |
$12K |
| 87807 |
|
699 |
560 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
290 |
266 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
654 |
540 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
331 |
302 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
117 |
112 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
121 |
119 |
$961.00 |
| 90670 |
|
339 |
196 |
$928.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
622 |
548 |
$801.97 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
156 |
$654.96 |
| 81003 |
|
366 |
271 |
$559.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$511.89 |
| 90461 |
|
12 |
12 |
$495.48 |
| 90648 |
|
182 |
87 |
$376.00 |
| 90723 |
|
68 |
38 |
$208.00 |
| 86308 |
|
34 |
32 |
$192.00 |
| 85014 |
|
38 |
38 |
$108.00 |
| 90633 |
|
139 |
129 |
$88.00 |
| 36416 |
|
45 |
42 |
$84.00 |
| 90696 |
|
123 |
86 |
$40.00 |
| 90715 |
|
29 |
29 |
$0.00 |
| 90671 |
|
159 |
151 |
$0.00 |
| 3078F |
|
142 |
129 |
$0.00 |
| 90707 |
|
49 |
49 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
27 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
59 |
53 |
$0.00 |
| 90686 |
|
341 |
337 |
$0.00 |
| 90698 |
|
120 |
119 |
$0.00 |
| 90680 |
|
126 |
117 |
$0.00 |
| 90619 |
|
46 |
46 |
$0.00 |
| 90381 |
|
42 |
39 |
$0.00 |
| 90744 |
|
50 |
49 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
15 |
$0.00 |
| 90716 |
|
36 |
36 |
$0.00 |
| 3074F |
|
152 |
134 |
$0.00 |
| 90697 |
|
13 |
12 |
$0.00 |
| 90651 |
|
34 |
34 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
13 |
$0.00 |
| 90677 |
|
47 |
47 |
$0.00 |