| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,238 |
26,896 |
$4.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,595 |
9,762 |
$20.82 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18,148 |
15,062 |
$8.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
541 |
458 |
$1.00 |
| 81025 |
|
1,187 |
820 |
$0.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,700 |
5,467 |
$0.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
116 |
70 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
976 |
852 |
$0.00 |
| 99442 |
|
63 |
38 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
203 |
$0.00 |
| 81003 |
|
7,054 |
5,204 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
200 |
171 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,724 |
1,345 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
184 |
124 |
$0.00 |
| 90633 |
|
61 |
53 |
$0.00 |
| 90756 |
|
272 |
245 |
$0.00 |
| 99173 |
|
185 |
153 |
$0.00 |
| 90461 |
|
76 |
46 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
26 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
47 |
43 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
29 |
$0.00 |
| 90682 |
|
38 |
32 |
$0.00 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
31 |
22 |
$0.00 |
| 90734 |
|
31 |
29 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,469 |
1,969 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
195 |
177 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
256 |
223 |
$0.00 |
| 87430 |
|
4,906 |
3,864 |
$0.00 |
| 92551 |
|
149 |
137 |
$0.00 |
| 90686 |
|
123 |
112 |
$0.00 |
| 3008F |
|
1,106 |
906 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
738 |
531 |
$0.00 |
| 99406 |
|
84 |
66 |
$0.00 |
| 99441 |
|
104 |
70 |
$0.00 |
| 81000 |
|
352 |
292 |
$0.00 |
| 00000 |
|
170 |
156 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
68 |
$0.00 |
| 90688 |
|
76 |
69 |
$0.00 |
| 99422 |
|
16 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
12 |
$0.00 |