| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,406 |
23,569 |
$766K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,090 |
6,326 |
$182K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
770 |
719 |
$61K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,609 |
1,369 |
$24K |
| 95886 |
|
289 |
267 |
$14K |
| 95908 |
|
81 |
78 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
154 |
136 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
320 |
194 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
29 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
68 |
67 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
151 |
148 |
$2K |
| 99490 |
Ccm add 20min |
60 |
58 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$974.88 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
85 |
83 |
$636.52 |
| 99406 |
|
98 |
87 |
$548.28 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
26 |
26 |
$478.94 |
| 90658 |
|
34 |
34 |
$312.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$301.21 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
16 |
$263.70 |
| 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 |
16 |
16 |
$195.30 |
| 90756 |
|
16 |
16 |
$181.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
27 |
24 |
$101.95 |