| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
63,520 |
49,778 |
$4.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46,795 |
39,050 |
$385K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
283 |
266 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
184 |
180 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
149 |
138 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
134 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
101 |
97 |
$983.67 |
| 90734 |
|
32 |
31 |
$890.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
80 |
$818.98 |
| 90756 |
|
24 |
24 |
$818.98 |
| 36415 |
Collection of venous blood by venipuncture |
581 |
549 |
$708.55 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14,921 |
12,115 |
$248.65 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
12 |
$178.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,916 |
1,764 |
$100.00 |
| 87206 |
|
95 |
86 |
$34.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
22 |
$0.00 |
| 90674 |
|
34 |
32 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
74 |
68 |
$0.00 |
| 87807 |
|
81 |
77 |
$0.00 |
| 90619 |
|
13 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
309 |
287 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
770 |
738 |
$0.00 |
| 90715 |
|
17 |
16 |
$0.00 |
| 81002 |
|
13 |
13 |
$0.00 |