| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,838 |
15,928 |
$2.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,354 |
9,054 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,158 |
5,941 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,095 |
1,114 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,374 |
751 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,515 |
1,405 |
$2K |
| 87430 |
|
5,224 |
3,056 |
$485.75 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,656 |
2,777 |
$443.57 |
| 90688 |
|
119 |
60 |
$38.34 |
| 81003 |
|
4,303 |
2,640 |
$9.40 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,222 |
698 |
$8.04 |
| 3008F |
|
8,203 |
4,582 |
$0.00 |
| 93000 |
|
215 |
129 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
69 |
40 |
$0.00 |
| 90686 |
|
112 |
71 |
$0.00 |
| 00000 |
|
163 |
141 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
191 |
110 |
$0.00 |
| 90620 |
|
27 |
14 |
$0.00 |
| 99172 |
|
37 |
21 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
19 |
$0.00 |
| 90651 |
|
23 |
13 |
$0.00 |
| 90619 |
|
22 |
13 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
17 |
12 |
$0.00 |
| 81025 |
|
360 |
235 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
26 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,787 |
1,212 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
287 |
124 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
111 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
55 |
42 |
$0.00 |
| 99173 |
|
75 |
47 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
147 |
95 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
39 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
58 |
49 |
$0.00 |
| 90633 |
|
26 |
13 |
$0.00 |