| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,437 |
3,818 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,719 |
6,294 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,215 |
957 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
409 |
171 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,212 |
875 |
$937.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
91 |
81 |
$639.46 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$561.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
14 |
$547.41 |
| 82947 |
|
375 |
287 |
$432.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
340 |
286 |
$354.14 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,266 |
892 |
$350.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
88 |
78 |
$299.80 |
| 81002 |
|
16 |
13 |
$30.00 |
| 99000 |
|
29 |
27 |
$10.50 |
| 3078F |
|
638 |
546 |
$0.00 |
| 3077F |
|
73 |
64 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$0.00 |
| 3075F |
|
71 |
66 |
$0.00 |
| 3079F |
|
19 |
19 |
$0.00 |
| 3074F |
|
446 |
379 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
66 |
55 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
22 |
19 |
$0.00 |