| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,251 |
14,701 |
$3.72M |
| 3077F |
|
105 |
83 |
$45.00 |
| 99212 |
|
2,222 |
1,843 |
$24.83 |
| 3080F |
|
44 |
38 |
$20.00 |
| 99394 |
|
17 |
14 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
884 |
689 |
$0.00 |
| 81025 |
|
32 |
27 |
$0.00 |
| 99203 |
|
97 |
82 |
$0.00 |
| 81002 |
|
25 |
24 |
$0.00 |
| 87804 |
|
242 |
191 |
$0.00 |
| 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 |
37 |
37 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
141 |
76 |
$0.00 |
| 99214 |
|
2,557 |
2,116 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
179 |
155 |
$0.00 |
| 90686 |
|
187 |
161 |
$0.00 |
| 99213 |
|
14,996 |
11,653 |
$0.00 |
| 96372 |
|
4,980 |
3,252 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,178 |
1,776 |
$0.00 |
| 00000 |
|
110 |
89 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
214 |
140 |
$0.00 |
| 90471 |
|
100 |
75 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |