| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,411 |
4,646 |
$442K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,761 |
3,360 |
$4K |
| 94760 |
|
1,269 |
1,169 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
835 |
769 |
$180.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
242 |
232 |
$13.80 |
| 36415 |
Collection of venous blood by venipuncture |
50 |
49 |
$6.34 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
53 |
53 |
$0.00 |
| 85027 |
|
19 |
18 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$0.00 |
| 36416 |
|
142 |
132 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
104 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
18 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
97 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$0.00 |
| 90734 |
|
14 |
13 |
$0.00 |
| 90461 |
|
14 |
13 |
$0.00 |