| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,316 |
13,291 |
$1.15M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,833 |
9,145 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,920 |
3,362 |
$42K |
| 36415 |
Collection of venous blood by venipuncture |
956 |
856 |
$5K |
| 87430 |
|
192 |
177 |
$940.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
64 |
$523.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
101 |
79 |
$481.33 |
| 87252 |
|
97 |
76 |
$317.40 |
| 95117 |
|
87 |
25 |
$288.71 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
306 |
$172.33 |
| 99201 |
|
12 |
12 |
$102.21 |
| 81002 |
|
81 |
73 |
$88.00 |
| 90756 |
|
23 |
16 |
$25.00 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
25 |
15 |
$18.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
54 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
146 |
122 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |