| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,168 |
1,703 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,914 |
1,494 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
319 |
253 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,076 |
890 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
148 |
55 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
50 |
38 |
$828.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
50 |
45 |
$228.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
19 |
$224.00 |
| 93000 |
|
15 |
13 |
$186.96 |
| 90756 |
|
19 |
15 |
$108.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32 |
26 |
$90.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
51 |
41 |
$41.98 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
46 |
37 |
$32.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
15 |
$25.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17 |
13 |
$6.00 |
| 3074F |
|
315 |
275 |
$0.00 |
| 3079F |
|
130 |
111 |
$0.00 |
| 3075F |
|
14 |
12 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
23 |
23 |
$0.00 |
| 3080F |
|
19 |
15 |
$0.00 |
| 3078F |
|
251 |
228 |
$0.00 |
| 3077F |
|
41 |
34 |
$0.00 |