| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,008 |
4,714 |
$580K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,765 |
1,942 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
943 |
770 |
$6K |
| 87428 |
|
899 |
763 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,534 |
1,253 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
484 |
362 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
714 |
597 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,236 |
503 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
755 |
641 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
686 |
462 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
177 |
$950.03 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
129 |
107 |
$820.96 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
83 |
57 |
$41.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
84 |
$38.22 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49 |
36 |
$31.76 |
| 36415 |
Collection of venous blood by venipuncture |
188 |
125 |
$8.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
117 |
81 |
$5.64 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$4.80 |
| 81003 |
|
33 |
25 |
$4.60 |
| 3078F |
|
114 |
74 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$0.00 |
| 3074F |
|
141 |
103 |
$0.00 |
| 3079F |
|
21 |
12 |
$0.00 |