| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,251 |
14,701 |
$3.72M |
| 3077F |
|
105 |
83 |
$45.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,222 |
1,843 |
$24.83 |
| 3080F |
|
44 |
38 |
$20.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
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 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
82 |
$0.00 |
| 81002 |
|
25 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
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 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,557 |
2,116 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
179 |
155 |
$0.00 |
| 90686 |
|
187 |
161 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,996 |
11,653 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
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 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
100 |
75 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |