| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,165 |
4,626 |
$734K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,658 |
3,341 |
$33.22 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
51 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
13 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
791 |
586 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |
| 81003 |
|
49 |
38 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
17 |
$0.00 |
| 99173 |
|
102 |
90 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,547 |
2,494 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
364 |
256 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,827 |
1,322 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
272 |
199 |
$0.00 |
| 92551 |
|
89 |
75 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
99 |
86 |
$0.00 |