| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
41,001 |
30,461 |
$7.23M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
259 |
$0.00 |
| 99173 |
|
1,721 |
1,553 |
$0.00 |
| 81002 |
|
603 |
489 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
534 |
493 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,270 |
1,506 |
$0.00 |
| 81025 |
|
802 |
619 |
$0.00 |
| 90633 |
|
184 |
148 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
510 |
391 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
695 |
572 |
$0.00 |
| 90670 |
|
184 |
151 |
$0.00 |
| 90734 |
|
24 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
126 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
135 |
$0.00 |
| 90682 |
|
101 |
74 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
54 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
152 |
72 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
18 |
16 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
24 |
24 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
18 |
$0.00 |
| 83655 |
|
16 |
13 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,572 |
22,450 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,247 |
1,878 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,383 |
4,124 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
165 |
121 |
$0.00 |
| 85018 |
|
323 |
259 |
$0.00 |
| 90686 |
|
353 |
312 |
$0.00 |
| 82962 |
|
111 |
74 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
440 |
368 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
199 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
796 |
634 |
$0.00 |
| 92551 |
|
1,724 |
1,555 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
821 |
635 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
43 |
29 |
$0.00 |
| 00000 |
|
119 |
75 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
140 |
98 |
$0.00 |
| 90698 |
|
112 |
91 |
$0.00 |
| 87430 |
|
83 |
68 |
$0.00 |
| 90651 |
|
15 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |