| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,318 |
17,577 |
$5.94M |
| 0012A |
|
75 |
43 |
$147.42 |
| 0011A |
|
120 |
71 |
$110.94 |
| 91301 |
|
252 |
129 |
$36.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,299 |
6,798 |
$0.27 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,302 |
7,338 |
$0.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
350 |
288 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,657 |
1,250 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
119 |
92 |
$0.00 |
| 99401 |
|
546 |
413 |
$0.00 |
| 98966 |
|
37 |
17 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,150 |
853 |
$0.00 |
| 81002 |
|
559 |
505 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
17 |
$0.00 |
| 99173 |
|
62 |
48 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
110 |
92 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
30 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
33 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
16 |
$0.00 |
| 91300 |
|
79 |
24 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
550 |
422 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
999 |
819 |
$0.00 |
| 87428 |
|
496 |
387 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
682 |
592 |
$0.00 |
| 99441 |
|
104 |
70 |
$0.00 |
| 92551 |
|
99 |
71 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
640 |
552 |
$0.00 |
| 90686 |
|
136 |
112 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
80 |
74 |
$0.00 |
| 85018 |
|
162 |
145 |
$0.00 |
| 98967 |
|
27 |
13 |
$0.00 |
| 90620 |
|
13 |
12 |
$0.00 |