| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,742 |
10,666 |
$1.00M |
| 99199 |
Unlisted special service, procedure or report |
43,267 |
18,697 |
$206K |
| 87428 |
|
252 |
234 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
432 |
386 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
264 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
16 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
54 |
$876.68 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
24 |
$837.05 |
| 80305 |
|
47 |
25 |
$509.75 |
| 92551 |
|
98 |
69 |
$211.87 |
| 90686 |
|
15 |
13 |
$131.67 |
| 99173 |
|
95 |
67 |
$5.20 |