| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
11,494 |
6,730 |
$236K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,269 |
5,678 |
$787.64 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
21 |
12 |
$11.28 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
609 |
336 |
$2.64 |
| 99307 |
|
490 |
274 |
$0.00 |
| 3078F |
|
356 |
323 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
30 |
$0.00 |
| 81002 |
|
107 |
66 |
$0.00 |
| 3077F |
|
19 |
18 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
107 |
62 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,544 |
999 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
601 |
337 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
147 |
82 |
$0.00 |
| 3074F |
|
350 |
318 |
$0.00 |
| 3079F |
|
58 |
56 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
125 |
70 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
281 |
186 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
54 |
30 |
$0.00 |