| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,439 |
7,484 |
$1.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,849 |
3,956 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,404 |
3,387 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,035 |
3,302 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,424 |
2,834 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,150 |
2,590 |
$2K |
| 87428 |
|
123 |
106 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
696 |
449 |
$676.17 |
| 87807 |
|
285 |
235 |
$255.64 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
45 |
$95.42 |
| 81003 |
|
94 |
76 |
$11.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
333 |
207 |
$6.28 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
24 |
16 |
$4.80 |
| 3078F |
|
18 |
18 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
12 |
$0.00 |
| 1159F |
|
28 |
28 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
14 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
13 |
13 |
$0.00 |
| 3074F |
|
22 |
22 |
$0.00 |