| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,617 |
2,997 |
$696K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,873 |
1,688 |
$356K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
725 |
670 |
$152K |
| D0999 |
Unspecified diagnostic procedure, by report |
29 |
25 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
51 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
175 |
81 |
$543.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$40.00 |
| 99000 |
|
715 |
663 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
45 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |