| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,825 |
4,734 |
$998K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,854 |
3,947 |
$32K |
| 3074F |
|
396 |
326 |
$12K |
| 3078F |
|
374 |
309 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,601 |
1,329 |
$6K |
| 96127 |
|
178 |
153 |
$6K |
| 3079F |
|
80 |
74 |
$3K |
| 90734 |
|
29 |
28 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$324.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
507 |
457 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
30 |
$0.00 |
| 3077F |
|
20 |
19 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
14 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
880 |
700 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
786 |
690 |
$0.00 |
| 3075F |
|
37 |
35 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$0.00 |
| 90619 |
|
15 |
13 |
$0.00 |