| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
16,234 |
9,454 |
$412K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,728 |
6,208 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,805 |
1,717 |
$595.14 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
13 |
$163.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
83 |
53 |
$55.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
61 |
$55.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
49 |
$42.21 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,090 |
427 |
$12.87 |
| 81002 |
|
31 |
24 |
$5.22 |
| 81003 |
|
52 |
31 |
$2.30 |
| 3078F |
|
270 |
224 |
$0.00 |
| 1159F |
|
56 |
37 |
$0.00 |
| 1160F |
|
56 |
37 |
$0.00 |
| 99307 |
|
55 |
26 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,219 |
509 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,234 |
2,783 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
855 |
367 |
$0.00 |
| 3079F |
|
77 |
62 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
27 |
14 |
$0.00 |
| 3075F |
|
41 |
31 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
112 |
65 |
$0.00 |
| 3074F |
|
248 |
203 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
47 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
150 |
108 |
$0.00 |