| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,323 |
4,707 |
$308K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
375 |
318 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,460 |
2,015 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,334 |
1,690 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
62 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
271 |
210 |
$393.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$350.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
24 |
$145.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
226 |
175 |
$138.90 |
| 81025 |
|
47 |
41 |
$81.00 |
| 3078F |
|
533 |
424 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,751 |
2,427 |
$0.00 |
| 3074F |
|
578 |
452 |
$0.00 |
| 3079F |
|
95 |
70 |
$0.00 |