| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,531 |
6,658 |
$1.30M |
| 99173 |
|
446 |
298 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
106 |
85 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
55 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
13 |
$0.00 |
| 85018 |
|
506 |
303 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,450 |
5,998 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
930 |
591 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
271 |
$0.00 |
| 92551 |
|
267 |
218 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
121 |
102 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
57 |
$0.00 |