| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
690 |
514 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,413 |
1,201 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
174 |
$5K |
| 99000 |
|
468 |
406 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
327 |
294 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
125 |
103 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
170 |
$750.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37 |
31 |
$268.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
244 |
220 |
$205.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
15 |
$11.95 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
34 |
$0.00 |