| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,316 |
2,243 |
$372K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,159 |
7,509 |
$226K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
537 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
437 |
335 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,363 |
1,228 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
12 |
$611.46 |
| 36415 |
Collection of venous blood by venipuncture |
399 |
323 |
$454.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
595 |
456 |
$319.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
469 |
353 |
$297.65 |
| 81002 |
|
78 |
58 |
$73.84 |
| 81025 |
|
12 |
12 |
$35.35 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,210 |
732 |
$33.62 |
| 36416 |
|
397 |
240 |
$10.10 |
| 3077F |
|
826 |
616 |
$0.00 |
| 3078F |
|
704 |
527 |
$0.00 |
| 1159F |
|
494 |
416 |
$0.00 |
| 1160F |
|
492 |
415 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
23 |
20 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
62 |
54 |
$0.00 |
| 3074F |
|
1,157 |
876 |
$0.00 |
| 3080F |
|
953 |
723 |
$0.00 |
| 00000 |
|
111 |
100 |
$0.00 |
| 3075F |
|
388 |
329 |
$0.00 |
| 1034F |
|
1,123 |
828 |
$0.00 |
| 3079F |
|
718 |
574 |
$0.00 |
| 3008F |
|
2,431 |
1,824 |
$0.00 |
| 1036F |
|
993 |
754 |
$0.00 |
| 1035F |
|
176 |
138 |
$0.00 |