| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,695 |
11,517 |
$821K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
482 |
404 |
$31K |
| 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 |
1,919 |
1,730 |
$27K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
361 |
361 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
454 |
273 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,005 |
1,894 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
21 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |
| 99307 |
|
37 |
36 |
$1K |
| 1159F |
|
805 |
671 |
$800.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
339 |
308 |
$389.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
58 |
43 |
$288.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
531 |
482 |
$248.62 |
| 1101F |
|
49 |
37 |
$171.13 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
64 |
61 |
$127.09 |
| 80305 |
|
13 |
13 |
$34.39 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
229 |
208 |
$3.23 |
| 1160F |
|
563 |
471 |
$0.00 |
| 3078F |
|
94 |
84 |
$0.00 |
| 3288F |
|
33 |
27 |
$0.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
53 |
51 |
$0.00 |
| 3077F |
|
39 |
36 |
$0.00 |
| 82962 |
|
26 |
24 |
$0.00 |
| 3008F |
|
561 |
475 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
33 |
$0.00 |
| 3079F |
|
33 |
31 |
$0.00 |
| 3074F |
|
126 |
112 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 90686 |
|
31 |
30 |
$0.00 |
| 4010F |
|
16 |
14 |
$0.00 |