| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,772 |
6,304 |
$840K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,799 |
2,632 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,868 |
4,164 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
431 |
382 |
$953.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
617 |
547 |
$843.12 |
| 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 |
382 |
210 |
$660.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
110 |
77 |
$583.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
767 |
619 |
$310.66 |
| 36415 |
Collection of venous blood by venipuncture |
470 |
418 |
$228.00 |
| 90686 |
|
18 |
15 |
$175.15 |
| 99490 |
Ccm add 20min |
86 |
85 |
$169.23 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
70 |
67 |
$98.57 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$84.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,049 |
1,689 |
$75.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
211 |
201 |
$59.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,368 |
1,028 |
$8.15 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
850 |
627 |
$3.68 |
| 3074F |
|
612 |
406 |
$0.00 |
| 3008F |
|
971 |
631 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
83 |
77 |
$0.00 |
| 3079F |
|
34 |
29 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
35 |
27 |
$0.00 |
| 87428 |
|
16 |
14 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$0.00 |
| 1159F |
|
499 |
450 |
$0.00 |
| 3078F |
|
233 |
165 |
$0.00 |
| 99173 |
|
15 |
14 |
$0.00 |
| 1160F |
|
56 |
53 |
$0.00 |
| 81003 |
|
33 |
25 |
$0.00 |