| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,496 |
1,091 |
$367K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,347 |
748 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
450 |
312 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
459 |
251 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
15 |
13 |
$769.65 |
| 90686 |
|
32 |
22 |
$183.30 |
| 90656 |
|
26 |
16 |
$102.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
34 |
$53.52 |
| 3008F |
|
702 |
588 |
$0.00 |
| 1159F |
|
1,341 |
940 |
$0.00 |
| 1160F |
|
1,340 |
940 |
$0.00 |