| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,183 |
4,255 |
$346K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
217 |
205 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,799 |
2,638 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,039 |
1,570 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
120 |
61 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
269 |
143 |
$660.96 |
| 87428 |
|
267 |
208 |
$343.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
321 |
180 |
$68.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
28 |
$11.12 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
748 |
646 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
234 |
219 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
715 |
599 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
627 |
577 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
51 |
41 |
$0.00 |
| 1036F |
|
234 |
219 |
$0.00 |