| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
31,246 |
17,624 |
$1.73M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,062 |
10,630 |
$393K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,914 |
12,642 |
$125K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,757 |
2,479 |
$120K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,205 |
945 |
$64K |
| 99051 |
|
7,183 |
5,029 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
375 |
285 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,153 |
6,100 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,872 |
2,102 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,251 |
1,793 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,762 |
2,721 |
$4K |
| 87807 |
|
192 |
146 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
274 |
179 |
$970.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,360 |
2,857 |
$745.88 |
| 81002 |
|
1,253 |
754 |
$619.21 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
228 |
147 |
$171.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
922 |
605 |
$29.40 |
| 92551 |
|
359 |
227 |
$23.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
498 |
313 |
$18.26 |
| 83655 |
|
202 |
120 |
$9.63 |
| 85018 |
|
834 |
499 |
$6.14 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
251 |
77 |
$5.22 |
| 99173 |
|
432 |
266 |
$3.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
414 |
246 |
$3.01 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
55 |
39 |
$0.16 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
55 |
39 |
$0.12 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
126 |
72 |
$0.00 |
| 90686 |
|
18 |
15 |
$0.00 |
| 86308 |
|
24 |
12 |
$0.00 |
| 90716 |
|
46 |
25 |
$0.00 |
| 90651 |
|
21 |
12 |
$0.00 |
| 90670 |
|
91 |
53 |
$0.00 |
| 90707 |
|
45 |
24 |
$0.00 |
| 90633 |
|
42 |
30 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
81 |
$0.00 |
| 90734 |
|
42 |
31 |
$0.00 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
24 |
17 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
16 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$0.00 |