| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,818 |
15,806 |
$3.86M |
| 92551 |
|
487 |
379 |
$0.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,411 |
2,539 |
$0.73 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,226 |
7,826 |
$0.52 |
| 36415 |
Collection of venous blood by venipuncture |
4,479 |
3,766 |
$0.30 |
| 81002 |
|
1,673 |
1,091 |
$0.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,203 |
11,152 |
$0.15 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,255 |
4,323 |
$0.07 |
| 99173 |
|
486 |
378 |
$0.06 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
278 |
217 |
$0.06 |
| 99307 |
|
2,155 |
881 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
686 |
537 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,346 |
1,072 |
$0.00 |
| 81025 |
|
1,953 |
1,142 |
$0.00 |
| 86318 |
|
850 |
726 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
344 |
241 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
207 |
196 |
$0.00 |
| 1160F |
|
95 |
71 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
105 |
93 |
$0.00 |
| 1159F |
|
95 |
71 |
$0.00 |
| 1158F |
|
95 |
71 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
64 |
$0.00 |
| 90658 |
|
49 |
40 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,569 |
1,908 |
$0.00 |
| 82962 |
|
1,311 |
860 |
$0.00 |
| 11606 |
|
3,070 |
2,082 |
$0.00 |
| 11706 |
|
3,070 |
2,082 |
$0.00 |
| 11586 |
|
3,070 |
2,082 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
757 |
580 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
559 |
391 |
$0.00 |
| 11596 |
|
3,070 |
2,082 |
$0.00 |
| 1170F |
|
95 |
71 |
$0.00 |
| 11256 |
|
681 |
513 |
$0.00 |
| 11266 |
|
1,873 |
1,437 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
425 |
287 |
$0.00 |
| 1126F |
|
50 |
44 |
$0.00 |
| 1125F |
|
15 |
12 |
$0.00 |