| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,735 |
4,026 |
$391K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,693 |
3,171 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
129 |
$1K |
| 94760 |
|
175 |
160 |
$416.70 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
825 |
762 |
$375.96 |
| 36415 |
Collection of venous blood by venipuncture |
723 |
663 |
$28.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
120 |
$5.31 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
40 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |
| 36416 |
|
120 |
109 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
13 |
13 |
$0.00 |