| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,485 |
10,486 |
$1.85M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
295 |
273 |
$61K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
344 |
289 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,102 |
7,624 |
$43K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,462 |
1,355 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,514 |
1,274 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,750 |
1,634 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,141 |
950 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,810 |
1,617 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
163 |
149 |
$793.92 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
401 |
371 |
$696.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
656 |
620 |
$585.94 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
221 |
$580.88 |
| 36415 |
Collection of venous blood by venipuncture |
310 |
283 |
$534.10 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
77 |
$531.51 |
| 81002 |
|
109 |
98 |
$287.58 |
| 90734 |
|
15 |
15 |
$112.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$88.40 |
| 90651 |
|
12 |
12 |
$88.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
26 |
14 |
$26.76 |