| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,192 |
9,742 |
$414K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
519 |
425 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,957 |
8,050 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
178 |
151 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
206 |
179 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,691 |
2,515 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
25 |
24 |
$1K |
| 82962 |
|
351 |
290 |
$915.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
889 |
813 |
$660.01 |
| 90674 |
|
15 |
14 |
$336.70 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$314.55 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$286.02 |
| 36415 |
Collection of venous blood by venipuncture |
263 |
253 |
$186.00 |
| 99307 |
|
4,787 |
4,577 |
$140.65 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
299 |
286 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
40 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
26 |
25 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
254 |
236 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |