| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
110,976 |
78,563 |
$14.52M |
| 99051 |
|
1,808 |
1,438 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,788 |
43,525 |
$68.02 |
| 81002 |
|
4,421 |
3,251 |
$29.79 |
| 86403 |
|
4,205 |
3,013 |
$24.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,465 |
27,645 |
$3.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13,341 |
10,530 |
$3.19 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,188 |
2,433 |
$0.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,764 |
3,179 |
$0.07 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
471 |
410 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
427 |
364 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,086 |
6,550 |
$0.00 |
| 99307 |
|
5,204 |
4,380 |
$0.00 |
| 81025 |
|
3,820 |
2,618 |
$0.00 |
| 99442 |
|
227 |
104 |
$0.00 |
| 72100 |
|
36 |
27 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
214 |
171 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
47 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
25 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
279 |
198 |
$0.00 |
| 90670 |
|
50 |
40 |
$0.00 |
| 86756 |
|
17 |
12 |
$0.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
14 |
12 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
53 |
45 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
13 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
32,473 |
22,614 |
$0.00 |
| 84703 |
|
2,172 |
1,826 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12,288 |
9,058 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16,972 |
12,842 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
7,183 |
5,304 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,874 |
1,337 |
$0.00 |
| 99441 |
|
996 |
405 |
$0.00 |
| 81000 |
|
3,860 |
2,710 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,081 |
920 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$0.00 |
| 90686 |
|
157 |
130 |
$0.00 |
| 86308 |
|
241 |
172 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
92 |
74 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
118 |
90 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
27 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
49 |
36 |
$0.00 |
| 94760 |
|
211 |
185 |
$0.00 |
| 58100 |
|
14 |
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 |
238 |
74 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
12 |
$0.00 |
| 72040 |
|
12 |
12 |
$0.00 |
| 99406 |
|
18 |
13 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |