| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,595 |
13,190 |
$1.90M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,483 |
5,786 |
$97K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
2,128 |
1,040 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,116 |
1,071 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,130 |
2,867 |
$19K |
| 90688 |
|
747 |
740 |
$13K |
| J3490 |
Unclassified drugs |
222 |
164 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
135 |
135 |
$5K |
| 97810 |
|
207 |
175 |
$5K |
| 97811 |
|
206 |
175 |
$5K |
| 90715 |
|
118 |
118 |
$4K |
| S5000 |
Prescription drug, generic |
407 |
291 |
$4K |
| 90750 |
|
29 |
29 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
229 |
$3K |
| 17000 |
|
27 |
27 |
$2K |
| 11976 |
|
24 |
12 |
$1K |
| 90746 |
|
15 |
15 |
$1K |
| 81025 |
|
323 |
320 |
$900.17 |
| S4993 |
Contraceptive pills for birth control |
15 |
15 |
$732.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,841 |
2,532 |
$729.04 |
| 87210 |
|
236 |
228 |
$664.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
46 |
41 |
$561.42 |
| 83986 |
|
165 |
160 |
$485.15 |
| 90686 |
|
35 |
32 |
$382.49 |
| 90677 |
|
18 |
15 |
$360.00 |
| 96127 |
|
62 |
52 |
$298.22 |
| 90658 |
|
16 |
16 |
$290.90 |
| 81002 |
|
166 |
158 |
$193.50 |
| 90685 |
|
13 |
13 |
$117.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
70 |
$20.97 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
422 |
410 |
$0.00 |