| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
45,976 |
31,010 |
$3.69M |
| 81002 |
|
987 |
761 |
$1K |
| 87400 |
|
842 |
430 |
$809.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,099 |
886 |
$231.19 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,005 |
15,261 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,278 |
9,746 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,799 |
1,393 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,179 |
3,004 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
727 |
664 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
398 |
358 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 90686 |
|
101 |
92 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,286 |
1,033 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
271 |
209 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,314 |
2,571 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
501 |
485 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,186 |
960 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
223 |
215 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
99 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
108 |
85 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
320 |
244 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,833 |
604 |
$0.00 |
| 90715 |
|
21 |
15 |
$0.00 |
| 90734 |
|
80 |
67 |
$0.00 |
| 81025 |
|
14 |
14 |
$0.00 |