| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,183 |
8,364 |
$569K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,726 |
5,894 |
$509K |
| T1015 |
Clinic visit/encounter, all-inclusive |
19,178 |
14,229 |
$234K |
| 36415 |
Collection of venous blood by venipuncture |
1,953 |
1,533 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
163 |
121 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
640 |
336 |
$4K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
84 |
56 |
$3K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
380 |
240 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
103 |
41 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
15 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
105 |
72 |
$534.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
33 |
14 |
$90.00 |
| 81003 |
|
54 |
41 |
$70.82 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
16 |
13 |
$69.60 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
58 |
26 |
$41.48 |
| 3008F |
|
88 |
73 |
$0.00 |
| 90686 |
|
16 |
15 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |
| 1160F |
|
20 |
18 |
$0.00 |
| 1159F |
|
33 |
31 |
$0.00 |