| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,998 |
4,582 |
$565K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,111 |
2,663 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,583 |
3,533 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
880 |
646 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
31 |
23 |
$1K |
| 81002 |
|
1,013 |
673 |
$325.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
110 |
$301.99 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
60 |
$266.12 |
| 90686 |
|
15 |
13 |
$184.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
13 |
$144.43 |
| 80305 |
|
81 |
46 |
$123.42 |
| 36415 |
Collection of venous blood by venipuncture |
337 |
246 |
$60.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
170 |
93 |
$18.75 |
| 3080F |
|
260 |
188 |
$0.00 |
| 3079F |
|
888 |
564 |
$0.00 |
| 1034F |
|
863 |
520 |
$0.00 |
| 3074F |
|
1,454 |
906 |
$0.00 |
| 3075F |
|
630 |
391 |
$0.00 |
| 1126F |
|
1,285 |
808 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
68 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
153 |
90 |
$0.00 |
| 1036F |
|
1,552 |
931 |
$0.00 |
| 1125F |
|
951 |
590 |
$0.00 |
| 3008F |
|
2,794 |
1,683 |
$0.00 |
| 1035F |
|
45 |
26 |
$0.00 |
| 87807 |
|
15 |
12 |
$0.00 |
| 90656 |
|
88 |
73 |
$0.00 |
| 1160F |
|
404 |
264 |
$0.00 |
| 3078F |
|
1,578 |
974 |
$0.00 |
| 1159F |
|
404 |
264 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
14 |
$0.00 |
| 3077F |
|
666 |
436 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
22 |
16 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
13 |
$0.00 |