| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,366 |
7,622 |
$1.66M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,417 |
5,422 |
$118.81 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
757 |
583 |
$0.62 |
| 81003 |
|
97 |
79 |
$0.00 |
| 87420 |
|
42 |
33 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
24 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
79 |
63 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
38 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,297 |
981 |
$0.00 |
| 87430 |
|
1,238 |
982 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,586 |
882 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
305 |
242 |
$0.00 |
| 87428 |
|
314 |
250 |
$0.00 |
| 80050 |
General health panel |
19 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
41 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
48 |
41 |
$0.00 |
| 90686 |
|
30 |
29 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
15 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
25 |
$0.00 |