| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,957 |
2,545 |
$333K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,499 |
2,485 |
$288.19 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
821 |
603 |
$83.06 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
616 |
548 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
268 |
202 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
44 |
36 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
39 |
31 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
12 |
$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 |
1,207 |
1,155 |
$0.00 |
| 99490 |
Ccm add 20min |
13 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
15 |
$0.00 |