| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
34,424 |
26,877 |
$3.11M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,723 |
4,862 |
$105.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,006 |
2,451 |
$62.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,527 |
6,446 |
$31.40 |
| 81002 |
|
1,336 |
1,156 |
$2.60 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
15 |
13 |
$0.15 |
| 81025 |
|
967 |
859 |
$0.00 |
| 4013F |
|
207 |
171 |
$0.00 |
| 3078F |
|
1,740 |
1,495 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
448 |
393 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
135 |
117 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,421 |
2,061 |
$0.00 |
| 17110 |
|
59 |
49 |
$0.00 |
| 3077F |
|
97 |
94 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
12 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
27 |
$0.00 |
| 3725F |
|
13 |
12 |
$0.00 |
| 1036F |
|
5,308 |
4,385 |
$0.00 |
| 1034F |
|
1,499 |
1,307 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 3008F |
|
10,981 |
8,831 |
$0.00 |
| 2000F |
|
506 |
448 |
$0.00 |
| 3079F |
|
998 |
860 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,831 |
7,008 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
366 |
327 |
$0.00 |
| 3074F |
|
2,261 |
1,874 |
$0.00 |
| 3080F |
|
94 |
82 |
$0.00 |
| 3075F |
|
372 |
311 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,848 |
15,815 |
$0.00 |
| 87428 |
|
1,780 |
1,657 |
$0.00 |
| 4008F |
|
53 |
39 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
72 |
54 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
110 |
92 |
$0.00 |
| 87807 |
|
618 |
528 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
33 |
30 |
$0.00 |
| 4010F |
|
43 |
36 |
$0.00 |
| 1035F |
|
110 |
89 |
$0.00 |
| 11102 |
|
16 |
15 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
25 |
$0.00 |
| 1000F |
|
50 |
49 |
$0.00 |