| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,751 |
3,721 |
$1.14M |
| 99199 |
Unlisted special service, procedure or report |
58,878 |
33,689 |
$354K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
57 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
268 |
124 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
17 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
85 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$1K |
| 92081 |
|
26 |
20 |
$539.26 |
| 92551 |
|
364 |
322 |
$392.86 |
| 99173 |
|
382 |
333 |
$382.12 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
126 |
$299.61 |
| 81003 |
|
73 |
68 |
$108.68 |
| 96160 |
|
33 |
21 |
$94.32 |
| 96127 |
|
23 |
16 |
$73.11 |
| 85018 |
|
12 |
12 |
$3.01 |
| 2000F |
|
1,125 |
891 |
$0.00 |
| 3008F |
|
1,021 |
820 |
$0.00 |
| 3074F |
|
835 |
671 |
$0.00 |
| 2010F |
|
1,196 |
943 |
$0.00 |
| 1036F |
|
153 |
125 |
$0.00 |
| 2001F |
|
1,056 |
845 |
$0.00 |
| 3079F |
|
81 |
73 |
$0.00 |
| 3080F |
|
47 |
39 |
$0.00 |
| 3044F |
|
17 |
14 |
$0.00 |
| 3075F |
|
19 |
13 |
$0.00 |
| 3077F |
|
29 |
25 |
$0.00 |
| 1160F |
|
573 |
447 |
$0.00 |
| 3078F |
|
736 |
599 |
$0.00 |
| 1159F |
|
573 |
447 |
$0.00 |