| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,274 |
816 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
859 |
565 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
32 |
20 |
$50.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
58 |
20 |
$44.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
35 |
24 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
119 |
71 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
13 |
$0.00 |