| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
996 |
952 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,049 |
1,009 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
95 |
$4K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
96 |
92 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
32 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
13 |
$336.38 |
| 81003 |
|
15 |
13 |
$52.28 |
| 3078F |
|
146 |
142 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
43 |
43 |
$0.00 |
| 1160F |
|
266 |
261 |
$0.00 |
| 1159F |
|
244 |
238 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
127 |
125 |
$0.00 |
| 3074F |
|
156 |
151 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$0.00 |