| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
10,653 |
7,626 |
$883K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,246 |
5,348 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
662 |
543 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,858 |
2,296 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
118 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
523 |
421 |
$485.63 |
| 36415 |
Collection of venous blood by venipuncture |
948 |
750 |
$72.76 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
829 |
668 |
$11.06 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
698 |
572 |
$0.00 |
| 86308 |
|
38 |
32 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
42 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
210 |
178 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$0.00 |
| 80305 |
|
52 |
47 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
311 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
57 |
39 |
$0.00 |
| 81002 |
|
176 |
149 |
$0.00 |
| 81025 |
|
36 |
26 |
$0.00 |
| 86328 |
|
80 |
17 |
$0.00 |