| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,582 |
10,336 |
$1.74M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,753 |
2,304 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
891 |
640 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,018 |
1,497 |
$0.00 |
| 87428 |
|
1,121 |
826 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
197 |
152 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,634 |
5,639 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
154 |
154 |
$0.00 |
| 90686 |
|
19 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
12 |
$0.00 |
| 82962 |
|
13 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
13 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,415 |
1,978 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
478 |
284 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
905 |
595 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
87 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$0.00 |
| 86756 |
|
13 |
13 |
$0.00 |
| 81003 |
|
20 |
12 |
$0.00 |