| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,436 |
5,422 |
$1.14M |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,830 |
1,640 |
$23K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
570 |
523 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
447 |
405 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
503 |
448 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
482 |
440 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
399 |
365 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,055 |
2,475 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,580 |
1,308 |
$2K |
| 81003 |
|
227 |
214 |
$629.59 |
| 87807 |
|
36 |
33 |
$385.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
108 |
$286.16 |
| 90670 |
|
59 |
46 |
$200.00 |
| 99215 |
Prolong outpt/office vis |
86 |
77 |
$129.89 |
| 90658 |
|
26 |
24 |
$104.00 |
| 90698 |
|
18 |
15 |
$88.00 |
| 90680 |
|
22 |
15 |
$80.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
33 |
$37.96 |
| 99205 |
Prolong outpt/office vis |
19 |
12 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
18 |
$0.00 |
| 96160 |
|
13 |
13 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
49 |
45 |
$0.00 |