| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,819 |
15,807 |
$1.63M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,171 |
12,830 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,495 |
1,971 |
$14K |
| 98960 |
|
512 |
120 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,839 |
5,012 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
302 |
258 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
571 |
422 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
233 |
164 |
$984.06 |
| 90674 |
|
123 |
82 |
$973.00 |
| 93000 |
|
215 |
147 |
$862.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
87 |
$764.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,011 |
1,563 |
$746.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
315 |
194 |
$227.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,682 |
3,610 |
$132.74 |
| 81002 |
|
333 |
228 |
$102.70 |
| 86308 |
|
47 |
29 |
$53.56 |
| 80305 |
|
28 |
13 |
$44.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,873 |
1,359 |
$8.33 |
| 3077F |
|
15 |
13 |
$5.00 |
| 3079F |
|
39 |
29 |
$5.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
272 |
244 |
$0.00 |
| 3078F |
|
108 |
88 |
$0.00 |
| 96160 |
|
576 |
555 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
115 |
108 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
317 |
298 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
84 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
138 |
$0.00 |
| 3074F |
|
129 |
104 |
$0.00 |
| 99441 |
|
46 |
19 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |