| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
25,857 |
17,278 |
$2.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,339 |
13,726 |
$586.70 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
118 |
$154.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,842 |
2,623 |
$39.87 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,644 |
2,629 |
$19.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,554 |
1,186 |
$3.41 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,423 |
1,946 |
$0.36 |
| 36415 |
Collection of venous blood by venipuncture |
3,037 |
2,338 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,442 |
2,685 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
228 |
198 |
$0.00 |
| 00000 |
|
102 |
58 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
63 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,563 |
1,038 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
117 |
$0.00 |
| 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 |
104 |
96 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
842 |
643 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104 |
89 |
$0.00 |
| 81003 |
|
280 |
226 |
$0.00 |
| 90461 |
|
43 |
34 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
39 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
15 |
$0.00 |