| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
85,771 |
80,304 |
$9.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36,370 |
34,231 |
$3.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,595 |
29,658 |
$3.39M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26,870 |
26,395 |
$3.00M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26,784 |
26,336 |
$3.00M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39,261 |
37,574 |
$1.23M |
| 87428 |
|
8,054 |
7,908 |
$374K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,143 |
2,127 |
$253K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,797 |
1,731 |
$204K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
5,182 |
5,061 |
$136K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,063 |
2,244 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,831 |
2,761 |
$20K |
| 99215 |
Prolong outpt/office vis |
162 |
157 |
$16K |
| 99205 |
Prolong outpt/office vis |
73 |
73 |
$8K |
| 87400 |
|
678 |
345 |
$4K |
| 96127 |
|
1,416 |
1,313 |
$3K |
| 81003 |
|
1,253 |
1,209 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
653 |
623 |
$3K |
| 81025 |
|
275 |
267 |
$2K |
| 73110 |
|
95 |
95 |
$970.50 |
| 69209 |
|
16 |
16 |
$280.00 |
| 87905 |
|
88 |
85 |
$140.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
71 |
69 |
$103.08 |
| 73030 |
|
12 |
12 |
$82.86 |
| 87808 |
|
50 |
49 |
$45.08 |
| 73610 |
|
18 |
16 |
$25.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
13 |
$0.26 |
| 3351F |
|
1,466 |
1,353 |
$0.00 |
| A9150 |
Non-prescription drugs |
228 |
226 |
$0.00 |
| 3352F |
|
231 |
215 |
$0.00 |
| 3353F |
|
122 |
119 |
$0.00 |
| 3354F |
|
21 |
19 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |