| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
74,101 |
59,263 |
$10.42M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,910 |
29,425 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23,310 |
19,857 |
$100K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,678 |
2,486 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
813 |
728 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,061 |
4,012 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,026 |
1,771 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,333 |
3,029 |
$16K |
| 90686 |
|
998 |
929 |
$15K |
| 81002 |
|
557 |
511 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
889 |
825 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
144 |
70 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
48 |
46 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,622 |
1,154 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
546 |
522 |
$828.01 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
19 |
18 |
$803.04 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,067 |
853 |
$165.14 |
| 87430 |
|
38 |
38 |
$131.82 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
264 |
235 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
452 |
437 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
54 |
51 |
$0.00 |
| 90656 |
|
138 |
135 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
186 |
165 |
$0.00 |
| 90732 |
|
41 |
37 |
$0.00 |
| 0064A |
|
18 |
18 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
390 |
233 |
$0.00 |
| 99406 |
|
106 |
106 |
$0.00 |
| 0001A |
|
61 |
58 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
119 |
109 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
31 |
28 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 20610 |
|
12 |
12 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13 |
13 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
272 |
248 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
365 |
324 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 69210 |
|
24 |
17 |
$0.00 |
| 0002A |
|
12 |
12 |
$0.00 |
| H2020 |
Therapeutic behavioral services, per diem |
29 |
21 |
$0.00 |