| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
20,216 |
12,260 |
$2.34M |
| H2020 |
Therapeutic behavioral services, per diem |
2,056 |
855 |
$214K |
| 98960 |
|
815 |
280 |
$27K |
| 3074F |
|
3,333 |
2,661 |
$275.00 |
| 3078F |
|
2,184 |
1,783 |
$190.00 |
| 3079F |
|
2,611 |
2,099 |
$180.00 |
| 3075F |
|
994 |
819 |
$75.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,536 |
5,457 |
$41.53 |
| 3077F |
|
754 |
591 |
$25.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
9,626 |
6,902 |
$24.83 |
| 3080F |
|
379 |
301 |
$5.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
871 |
624 |
$0.00 |
| 3008F |
|
5,563 |
4,321 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
143 |
124 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
78 |
65 |
$0.00 |
| 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 |
335 |
261 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
113 |
81 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
15 |
12 |
$0.00 |
| 82962 |
|
47 |
45 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
196 |
162 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,992 |
1,099 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
315 |
292 |
$0.00 |
| 81025 |
|
159 |
137 |
$0.00 |
| J7637 |
Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
42 |
33 |
$0.00 |
| 82948 |
|
96 |
74 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
28 |
$0.00 |