| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,365 |
18,579 |
$3.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,991 |
10,128 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,801 |
5,189 |
$15K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
54 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
789 |
579 |
$931.23 |
| 99385 |
|
149 |
81 |
$613.40 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
536 |
409 |
$409.94 |
| 81000 |
|
1,371 |
928 |
$328.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,376 |
1,493 |
$191.87 |
| G0008 |
Administration of influenza virus vaccine |
1,033 |
435 |
$160.00 |
| 81003 |
|
6,378 |
4,099 |
$155.90 |
| 90756 |
|
549 |
153 |
$135.58 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,132 |
857 |
$0.00 |
| 90688 |
|
118 |
95 |
$0.00 |
| 90686 |
|
118 |
69 |
$0.00 |
| 99406 |
|
96 |
25 |
$0.00 |
| 87430 |
|
714 |
508 |
$0.00 |
| 99441 |
|
134 |
91 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
48 |
40 |
$0.00 |
| 3008F |
|
122 |
71 |
$0.00 |
| 93000 |
|
28 |
27 |
$0.00 |
| 90656 |
|
119 |
66 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
529 |
387 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
126 |
$0.00 |
| 81025 |
|
30 |
25 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
153 |
100 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
103 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
55 |
37 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
309 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |
| 90682 |
|
27 |
18 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
20 |
14 |
$0.00 |
| 99442 |
|
22 |
17 |
$0.00 |