| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,381 |
12,545 |
$2.28M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
691 |
592 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,610 |
2,308 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
25 |
$2K |
| 90658 |
|
412 |
380 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
99 |
93 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
45 |
44 |
$921.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
68 |
$896.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,450 |
7,237 |
$754.67 |
| 90649 |
|
36 |
30 |
$120.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
28 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
44 |
$0.00 |