| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,150 |
13,787 |
$1.29M |
| 99199 |
Unlisted special service, procedure or report |
58,821 |
27,205 |
$266K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,684 |
1,138 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
635 |
222 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
65 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
75 |
$2K |
| 87428 |
|
52 |
40 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
168 |
135 |
$2K |
| 90686 |
|
101 |
85 |
$809.56 |