| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,461 |
7,962 |
$1.03M |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
448 |
382 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,905 |
4,432 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,000 |
$3K |
| 99245 |
|
138 |
101 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,456 |
1,186 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
488 |
422 |
$967.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
973 |
751 |
$102.56 |
| 51798 |
|
37 |
29 |
$54.17 |
| 3078F |
|
1,426 |
1,069 |
$0.00 |
| 1159F |
|
3,577 |
2,496 |
$0.00 |
| 3077F |
|
304 |
210 |
$0.00 |
| 1160F |
|
465 |
324 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
41 |
$0.00 |
| 3074F |
|
1,466 |
1,085 |
$0.00 |
| 1125F |
|
177 |
164 |
$0.00 |
| 3079F |
|
203 |
123 |
$0.00 |
| 3075F |
|
127 |
82 |
$0.00 |
| 1126F |
|
453 |
416 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
40 |
$0.00 |
| 3080F |
|
111 |
74 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
18 |
$0.00 |