| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
88,811 |
65,567 |
$2.51M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,097 |
7,034 |
$165K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,305 |
2,186 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,652 |
1,348 |
$60K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,807 |
1,459 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,052 |
907 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
286 |
268 |
$18K |
| 99307 |
|
557 |
556 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
228 |
204 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
191 |
185 |
$14K |
| 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 |
850 |
787 |
$10K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
689 |
501 |
$9K |
| 95117 |
|
637 |
175 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
93 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
84 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
481 |
448 |
$6K |
| 90688 |
|
634 |
607 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
566 |
478 |
$5K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
1,549 |
1,104 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,023 |
868 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,290 |
1,057 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
413 |
318 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
23 |
$2K |
| 90756 |
|
157 |
146 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,302 |
1,969 |
$2K |
| 0031A |
|
33 |
32 |
$1K |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
177 |
150 |
$889.32 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
394 |
315 |
$661.08 |
| 90633 |
|
571 |
551 |
$581.96 |
| 90670 |
|
262 |
255 |
$564.13 |
| 90461 |
|
16 |
16 |
$548.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
40 |
$530.80 |
| 99318 |
|
17 |
17 |
$408.00 |
| 90734 |
|
47 |
45 |
$268.12 |
| 93000 |
|
14 |
14 |
$242.67 |
| 90680 |
|
38 |
36 |
$150.40 |
| 90651 |
|
63 |
63 |
$128.80 |
| 90698 |
|
17 |
17 |
$73.60 |
| 90723 |
|
16 |
15 |
$70.72 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
15 |
13 |
$39.62 |
| 90648 |
|
86 |
83 |
$26.21 |
| 90710 |
|
13 |
13 |
$0.00 |
| 91303 |
|
33 |
32 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |