| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
654 |
450 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
333 |
272 |
$33.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
394 |
292 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
33 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
94 |
72 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
15 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
113 |
13 |
$0.00 |
| 81003 |
|
37 |
31 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
98 |
72 |
$0.00 |