| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,047 |
2,051 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
468 |
339 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,349 |
892 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
188 |
90 |
$714.96 |
| 36415 |
Collection of venous blood by venipuncture |
301 |
247 |
$685.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
844 |
677 |
$520.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
232 |
151 |
$217.56 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
166 |
121 |
$130.66 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
34 |
28 |
$101.80 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
106 |
102 |
$76.34 |
| 99000 |
|
1,008 |
774 |
$30.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
160 |
115 |
$29.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$12.72 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
43 |
30 |
$8.96 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
17 |
$0.00 |