| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,683 |
5,144 |
$724K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
312 |
202 |
$3K |
| 87428 |
|
110 |
68 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,976 |
2,289 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,622 |
1,947 |
$385.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
261 |
$31.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
117 |
$16.82 |
| 3078F |
|
294 |
285 |
$0.00 |
| 3077F |
|
31 |
30 |
$0.00 |
| 3074F |
|
382 |
368 |
$0.00 |
| 3079F |
|
111 |
105 |
$0.00 |
| 3080F |
|
46 |
42 |
$0.00 |
| 90688 |
|
27 |
24 |
$0.00 |
| 3075F |
|
19 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
129 |
$0.00 |