| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
5,000 |
4,368 |
$351K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
814 |
688 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
318 |
281 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
15 |
$662.40 |
| 99307 |
|
19 |
12 |
$220.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$168.28 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$12.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$0.98 |