| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
14,882 |
11,098 |
$1.41M |
| 99051 |
|
169 |
150 |
$2K |
| 0011A |
|
221 |
84 |
$136.24 |
| 0001A |
|
38 |
29 |
$62.08 |
| 0012A |
|
74 |
34 |
$37.08 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,725 |
4,542 |
$0.10 |
| 81003 |
|
1,360 |
946 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
339 |
270 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,241 |
894 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
412 |
301 |
$0.00 |
| 90658 |
|
93 |
82 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
163 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
83 |
68 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
147 |
133 |
$0.00 |
| 81025 |
|
50 |
40 |
$0.00 |
| 82947 |
|
72 |
48 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
110 |
84 |
$0.00 |
| 81002 |
|
47 |
38 |
$0.00 |
| 91300 |
|
109 |
82 |
$0.00 |
| 0013A |
|
22 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,690 |
4,716 |
$0.00 |
| 82962 |
|
951 |
773 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
824 |
634 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
416 |
343 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,079 |
1,502 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
124 |
$0.00 |
| 91301 |
|
416 |
184 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
325 |
260 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
87 |
$0.00 |
| 87428 |
|
361 |
300 |
$0.00 |
| 99000 |
|
458 |
398 |
$0.00 |
| 99441 |
|
121 |
41 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
100 |
70 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
121 |
93 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
235 |
188 |
$0.00 |