| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,926 |
19,271 |
$5.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,423 |
12,375 |
$729.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,533 |
5,125 |
$587.19 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,166 |
2,437 |
$387.19 |
| 1159F |
|
6,283 |
4,680 |
$0.00 |
| 1160F |
|
6,267 |
4,672 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
89 |
$0.00 |
| 3078F |
|
1,668 |
1,287 |
$0.00 |
| 3077F |
|
380 |
301 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
276 |
237 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
12 |
$0.00 |
| 99173 |
|
73 |
69 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,497 |
2,673 |
$0.00 |
| 3079F |
|
835 |
678 |
$0.00 |
| 1036F |
|
1,585 |
1,163 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
158 |
138 |
$0.00 |
| 1126F |
|
1,362 |
1,115 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
113 |
$0.00 |
| 92551 |
|
77 |
70 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
371 |
325 |
$0.00 |
| 3074F |
|
1,986 |
1,539 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
106 |
88 |
$0.00 |
| 3008F |
|
2,440 |
1,845 |
$0.00 |
| 1125F |
|
4,087 |
3,116 |
$0.00 |
| 3075F |
|
311 |
257 |
$0.00 |
| 00000 |
|
51 |
24 |
$0.00 |
| 3080F |
|
227 |
179 |
$0.00 |
| J0698 |
Injection, cefotaxime sodium, per gm |
22 |
12 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
261 |
207 |
$0.00 |
| 90688 |
|
57 |
47 |
$0.00 |