| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,692 |
2,088 |
$249K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
293 |
141 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
682 |
551 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
329 |
281 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
158 |
136 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,037 |
1,576 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
380 |
296 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
579 |
509 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
232 |
195 |
$0.00 |