| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
26,466 |
19,170 |
$1.93M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,219 |
8,215 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,284 |
4,041 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,507 |
3,435 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,297 |
2,466 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,153 |
780 |
$822.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,615 |
1,381 |
$556.00 |
| 87428 |
|
438 |
348 |
$483.28 |
| 90686 |
|
52 |
42 |
$422.30 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,653 |
1,342 |
$298.45 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
69 |
64 |
$193.56 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
72 |
61 |
$184.08 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
116 |
$179.05 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
108 |
84 |
$171.41 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
40 |
$57.80 |
| 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 |
3,140 |
1,785 |
$40.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
527 |
503 |
$39.70 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
41 |
$31.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,675 |
1,419 |
$27.72 |
| 81003 |
|
29 |
24 |
$4.60 |
| 3078F |
|
1,600 |
1,030 |
$0.00 |
| 1160F |
|
808 |
682 |
$0.00 |
| 80061 |
Lipid panel |
53 |
50 |
$0.00 |
| 99173 |
|
688 |
525 |
$0.00 |
| 1159F |
|
1,026 |
856 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
42 |
34 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
15 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,257 |
1,911 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,009 |
959 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
307 |
278 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
268 |
261 |
$0.00 |
| 3008F |
|
2,942 |
1,851 |
$0.00 |
| 92551 |
|
557 |
401 |
$0.00 |
| 3074F |
|
1,856 |
1,189 |
$0.00 |
| 3079F |
|
87 |
73 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
206 |
191 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
191 |
175 |
$0.00 |
| 4010F |
|
18 |
12 |
$0.00 |
| 87807 |
|
16 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
17 |
13 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
27 |
27 |
$0.00 |