| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
82,488 |
65,172 |
$6.72M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,544 |
12,337 |
$270K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,940 |
14,456 |
$199K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
6,114 |
5,417 |
$153K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,702 |
4,114 |
$117K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,747 |
2,233 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,656 |
43,258 |
$52K |
| 87807 |
|
4,487 |
4,085 |
$45K |
| 90670 |
|
2,449 |
2,358 |
$40K |
| 90651 |
|
1,291 |
1,227 |
$40K |
| 90710 |
|
1,519 |
1,422 |
$39K |
| 90671 |
|
1,061 |
950 |
$27K |
| 90723 |
|
2,197 |
2,069 |
$26K |
| 90680 |
|
2,029 |
1,910 |
$25K |
| 90648 |
|
2,590 |
2,424 |
$20K |
| 90633 |
|
1,420 |
1,326 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
317 |
306 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,491 |
4,163 |
$12K |
| 90734 |
|
581 |
549 |
$12K |
| 90686 |
|
1,199 |
1,137 |
$11K |
| 87428 |
|
224 |
214 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,690 |
3,403 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,024 |
3,756 |
$7K |
| 83655 |
|
436 |
419 |
$6K |
| 90698 |
|
363 |
348 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,712 |
2,409 |
$4K |
| 90696 |
|
319 |
303 |
$4K |
| 90700 |
|
403 |
380 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
213 |
204 |
$3K |
| 81002 |
|
1,158 |
1,042 |
$3K |
| 90715 |
|
257 |
242 |
$3K |
| 90461 |
|
75 |
72 |
$3K |
| 90744 |
|
282 |
270 |
$2K |
| 90647 |
|
270 |
269 |
$2K |
| 90619 |
|
243 |
213 |
$2K |
| 90621 |
|
94 |
88 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
936 |
868 |
$2K |
| 90620 |
|
17 |
13 |
$751.25 |
| 92551 |
|
147 |
145 |
$690.00 |
| 90707 |
|
57 |
55 |
$440.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,456 |
4,075 |
$380.95 |
| 90716 |
|
43 |
42 |
$336.00 |
| 81003 |
|
80 |
67 |
$206.30 |
| 90685 |
|
18 |
16 |
$175.24 |
| 99173 |
|
34 |
34 |
$155.00 |
| 90681 |
|
18 |
18 |
$144.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$108.10 |
| 90381 |
|
17 |
14 |
$64.00 |
| 0071A |
|
86 |
85 |
$40.00 |
| 36416 |
|
13 |
13 |
$32.50 |
| 99401 |
|
58 |
49 |
$31.70 |
| 0001A |
|
81 |
45 |
$30.00 |
| 0072A |
|
62 |
60 |
$0.00 |
| 90724 |
|
20 |
18 |
$0.00 |
| 91300 |
|
24 |
18 |
$0.00 |
| 0002A |
|
52 |
47 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
14 |
$0.00 |