| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,594 |
2,001 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,718 |
1,445 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
955 |
829 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
72 |
$190.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
73 |
$77.00 |
| 81002 |
|
137 |
133 |
$26.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$26.36 |
| 1000F |
|
48 |
47 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$0.00 |