| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,238 |
8,276 |
$1.38M |
| 98960 |
|
451 |
89 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,398 |
3,349 |
$150.30 |
| 0031A |
|
50 |
18 |
$148.32 |
| 3044F |
|
106 |
80 |
$120.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,599 |
3,571 |
$66.53 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
595 |
510 |
$25.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
914 |
745 |
$7.50 |
| 81003 |
|
821 |
615 |
$0.00 |
| 87400 |
|
86 |
70 |
$0.00 |
| 91300 |
|
132 |
42 |
$0.00 |
| 3078F |
|
164 |
109 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
84 |
81 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
26 |
25 |
$0.00 |
| 90756 |
|
16 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
14 |
$0.00 |
| 82962 |
|
1,627 |
1,043 |
$0.00 |
| 3079F |
|
100 |
75 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
805 |
633 |
$0.00 |
| 90686 |
|
29 |
26 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
782 |
567 |
$0.00 |
| 82044 |
|
186 |
140 |
$0.00 |
| 3008F |
|
1,826 |
1,242 |
$0.00 |
| 99406 |
|
1,296 |
799 |
$0.00 |
| 3074F |
|
207 |
156 |
$0.00 |
| 3075F |
|
17 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
92 |
$0.00 |
| 3080F |
|
15 |
12 |
$0.00 |
| 91303 |
|
24 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
16 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16 |
13 |
$0.00 |