| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,484 |
3,042 |
$631K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,889 |
7,221 |
$438K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,439 |
13,025 |
$431K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,418 |
3,008 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,471 |
1,343 |
$107K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,746 |
1,590 |
$60K |
| 99000 |
|
9,627 |
8,811 |
$27K |
| 81025 |
|
3,503 |
3,162 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,145 |
1,059 |
$11K |
| 87210 |
|
2,092 |
1,868 |
$9K |
| 81003 |
|
4,545 |
4,089 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
192 |
174 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,227 |
1,017 |
$3K |
| 99441 |
|
321 |
262 |
$3K |
| 99201 |
|
100 |
91 |
$2K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
101 |
88 |
$2K |
| 81002 |
|
430 |
403 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
16 |
$440.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$143.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
14 |
$6.37 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
14 |
13 |
$1.47 |
| 1160F |
|
3,786 |
3,414 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
59 |
51 |
$0.00 |
| 3078F |
|
5,248 |
4,823 |
$0.00 |
| 3077F |
|
1,159 |
1,066 |
$0.00 |
| 1159F |
|
3,812 |
3,439 |
$0.00 |
| 3074F |
|
6,365 |
5,841 |
$0.00 |
| 3080F |
|
1,087 |
1,006 |
$0.00 |
| 3079F |
|
2,063 |
1,901 |
$0.00 |
| 3075F |
|
740 |
688 |
$0.00 |
| 1125F |
|
1,524 |
1,376 |
$0.00 |
| 1126F |
|
938 |
852 |
$0.00 |
| A9150 |
Non-prescription drugs |
236 |
227 |
$0.00 |
| 3008F |
|
76 |
70 |
$0.00 |