| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,029 |
4,111 |
$628K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
32 |
32 |
$42K |
| G9920 |
Screening performed and negative |
105 |
105 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
504 |
464 |
$1K |
| 0134A |
|
15 |
15 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
1,907 |
$921.60 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$456.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
789 |
704 |
$412.12 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13 |
13 |
$304.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
359 |
321 |
$0.00 |
| 1159F |
|
16 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
333 |
326 |
$0.00 |
| 1160F |
|
16 |
14 |
$0.00 |
| 4004F |
|
14 |
13 |
$0.00 |
| 2001F |
|
32 |
29 |
$0.00 |
| 2010F |
|
33 |
30 |
$0.00 |
| 1000F |
|
28 |
25 |
$0.00 |
| 3008F |
|
32 |
29 |
$0.00 |
| 2000F |
|
31 |
28 |
$0.00 |