| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,468 |
6,562 |
$564K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,990 |
5,990 |
$378K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,258 |
1,124 |
$112K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,480 |
1,769 |
$78K |
| 99307 |
|
1,132 |
1,095 |
$35K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,478 |
1,270 |
$21K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
467 |
314 |
$11K |
| 99442 |
|
45 |
42 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
33 |
30 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |
| 1159F |
|
996 |
869 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
947 |
890 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
438 |
384 |
$547.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
102 |
90 |
$419.09 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
80 |
66 |
$121.74 |
| 99215 |
Prolong outpt/office vis |
24 |
14 |
$114.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
24 |
$43.30 |
| 3078F |
|
152 |
140 |
$27.72 |
| 85018 |
|
16 |
15 |
$0.00 |
| 3008F |
|
483 |
405 |
$0.00 |
| 3074F |
|
233 |
200 |
$0.00 |
| 90686 |
|
67 |
66 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
95 |
94 |
$0.00 |
| 1160F |
|
687 |
599 |
$0.00 |
| 81025 |
|
13 |
12 |
$0.00 |
| 3288F |
|
12 |
12 |
$0.00 |