| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,809 |
2,223 |
$285K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,575 |
4,919 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,326 |
1,824 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
573 |
520 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
884 |
711 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,971 |
1,363 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
221 |
173 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
72 |
42 |
$928.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
105 |
$897.84 |
| 36415 |
Collection of venous blood by venipuncture |
589 |
536 |
$830.03 |
| 92551 |
|
142 |
129 |
$756.92 |
| 81002 |
|
409 |
314 |
$463.11 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
346 |
232 |
$426.70 |
| 90756 |
|
23 |
16 |
$397.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
39 |
32 |
$387.11 |
| 90674 |
|
21 |
18 |
$119.76 |
| 90658 |
|
17 |
15 |
$108.00 |
| 99173 |
|
58 |
54 |
$32.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
38 |
36 |
$14.96 |
| 3078F |
|
30 |
18 |
$0.00 |
| 90649 |
|
20 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
19 |
$0.00 |
| 85018 |
|
27 |
17 |
$0.00 |
| 3074F |
|
20 |
12 |
$0.00 |