| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,505 |
9,082 |
$804K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,032 |
3,191 |
$197K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,362 |
1,943 |
$135K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,207 |
3,084 |
$109K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,459 |
1,215 |
$86K |
| 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 |
1,338 |
1,128 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
222 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
121 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
456 |
381 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
131 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
60 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
248 |
207 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
850 |
680 |
$1K |
| 99307 |
|
65 |
55 |
$966.80 |
| 0001A |
|
15 |
15 |
$883.94 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,715 |
1,489 |
$540.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
89 |
86 |
$473.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
324 |
239 |
$432.82 |
| 99070 |
|
48 |
41 |
$282.93 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
183 |
163 |
$177.64 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
51 |
$100.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$95.00 |
| 99215 |
Prolong outpt/office vis |
16 |
12 |
$92.00 |
| 99406 |
|
14 |
12 |
$84.48 |
| 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 |
35 |
27 |
$35.39 |
| 87428 |
|
20 |
20 |
$30.52 |
| 91300 |
|
50 |
46 |
$0.45 |
| 90696 |
|
15 |
15 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
121 |
98 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
47 |
38 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
12 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
73 |
51 |
$0.00 |
| 81002 |
|
20 |
15 |
$0.00 |