| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,589 |
3,309 |
$447K |
| 87428 |
|
584 |
428 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
170 |
104 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
202 |
132 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
100 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
29 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,463 |
1,418 |
$510.48 |
| 81003 |
|
42 |
26 |
$78.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,032 |
1,413 |
$51.96 |
| 36415 |
Collection of venous blood by venipuncture |
905 |
589 |
$12.80 |
| 3078F |
|
488 |
313 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
12 |
$0.00 |
| 3077F |
|
22 |
13 |
$0.00 |
| 3074F |
|
352 |
229 |
$0.00 |
| 1036F |
|
74 |
45 |
$0.00 |
| 3008F |
|
774 |
499 |
$0.00 |
| 3075F |
|
18 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
41 |
$0.00 |
| 1034F |
|
24 |
12 |
$0.00 |
| 3079F |
|
74 |
48 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
22 |
15 |
$0.00 |