| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,253 |
8,340 |
$908K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,982 |
1,619 |
$883.25 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
968 |
838 |
$93.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,486 |
2,220 |
$31.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
620 |
535 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
180 |
$0.00 |
| 3078F |
|
234 |
191 |
$0.00 |
| 81002 |
|
42 |
41 |
$0.00 |
| 1036F |
|
1,220 |
1,006 |
$0.00 |
| 3008F |
|
2,609 |
2,185 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,054 |
5,178 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
113 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,701 |
1,418 |
$0.00 |
| 1034F |
|
504 |
452 |
$0.00 |
| 3074F |
|
355 |
271 |
$0.00 |
| 87428 |
|
499 |
462 |
$0.00 |
| 3075F |
|
17 |
12 |
$0.00 |
| 87807 |
|
161 |
138 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
29 |
28 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 3079F |
|
102 |
78 |
$0.00 |