| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
30,416 |
19,501 |
$2.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,613 |
10,468 |
$343.86 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,149 |
7,292 |
$233.08 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,367 |
4,362 |
$21.24 |
| 81025 |
|
560 |
460 |
$5.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,454 |
3,344 |
$1.00 |
| 92551 |
|
294 |
256 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,360 |
953 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,949 |
1,468 |
$0.00 |
| 85018 |
|
712 |
562 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
313 |
273 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,051 |
848 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
149 |
48 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
28 |
13 |
$0.00 |
| 90686 |
|
32 |
30 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,938 |
2,978 |
$0.00 |
| 81002 |
|
995 |
839 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
470 |
329 |
$0.00 |
| 99173 |
|
360 |
317 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
49 |
45 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
42 |
$0.00 |
| 90734 |
|
26 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
431 |
205 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
13 |
$0.00 |
| 90658 |
|
45 |
36 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
35 |
$0.00 |
| 87420 |
|
14 |
12 |
$0.00 |