| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,603 |
18,745 |
$656K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,304 |
2,608 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,282 |
991 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,372 |
2,032 |
$22K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
376 |
293 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,255 |
546 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
183 |
154 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,135 |
2,580 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,232 |
979 |
$7K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
867 |
581 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
146 |
116 |
$4K |
| 99441 |
|
60 |
45 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
145 |
134 |
$2K |
| 90756 |
|
28 |
24 |
$488.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
36 |
$422.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,286 |
1,026 |
$416.65 |
| 99072 |
|
120 |
94 |
$300.00 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
28 |
17 |
$201.75 |
| 81001 |
|
121 |
104 |
$86.78 |
| 81000 |
|
60 |
57 |
$61.37 |
| 3008F |
|
1,331 |
1,136 |
$26.29 |
| 1160F |
|
1,276 |
1,067 |
$25.19 |
| 1159F |
|
1,008 |
828 |
$25.19 |
| 3074F |
|
953 |
817 |
$4.26 |
| 3078F |
|
850 |
740 |
$3.60 |
| 1126F |
|
513 |
414 |
$2.42 |
| 1125F |
|
276 |
252 |
$1.03 |
| 1170F |
|
227 |
171 |
$0.81 |
| 3079F |
|
164 |
132 |
$0.78 |
| 3075F |
|
76 |
70 |
$0.30 |
| 4010F |
|
47 |
38 |
$0.02 |
| 3080F |
|
15 |
14 |
$0.01 |
| 3077F |
|
15 |
13 |
$0.01 |
| 1101F |
|
296 |
265 |
$0.00 |
| 99000 |
|
489 |
382 |
$0.00 |
| 3048F |
|
16 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
29 |
26 |
$0.00 |
| 4274F |
|
101 |
87 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
354 |
242 |
$0.00 |
| 1100F |
|
23 |
20 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
18 |
13 |
$0.00 |