| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,747 |
6,466 |
$750K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,777 |
2,941 |
$275K |
| 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 |
859 |
710 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$4K |
| 99051 |
|
25 |
24 |
$460.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,060 |
1,350 |
$13.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,799 |
1,602 |
$13.40 |
| 36415 |
Collection of venous blood by venipuncture |
264 |
245 |
$5.94 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
683 |
599 |
$0.97 |
| 81003 |
|
270 |
243 |
$0.91 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,017 |
888 |
$0.07 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
58 |
54 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
53 |
41 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
172 |
142 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 81025 |
|
88 |
80 |
$0.00 |