| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,090 |
31,038 |
$1.07M |
| 99441 |
|
8,178 |
7,285 |
$263K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,002 |
5,318 |
$236K |
| 99442 |
|
2,169 |
1,966 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,618 |
2,389 |
$65K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
2,312 |
2,028 |
$45K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
861 |
826 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
699 |
669 |
$10K |
| 99307 |
|
412 |
412 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
125 |
124 |
$7K |
| 90461 |
|
169 |
164 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
366 |
358 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
70 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
82 |
81 |
$4K |
| 92552 |
|
398 |
390 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
46 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
41 |
$2K |
| 90686 |
|
117 |
115 |
$1K |
| 99443 |
|
15 |
15 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
51 |
42 |
$940.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
79 |
77 |
$883.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
237 |
221 |
$132.73 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
49 |
43 |
$122.39 |
| 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 |
28 |
$119.82 |
| 81002 |
|
12 |
12 |
$6.72 |
| 3008F |
|
9,300 |
8,436 |
$2.37 |
| 3074F |
|
333 |
304 |
$1.05 |
| 1125F |
|
388 |
355 |
$0.87 |
| 3078F |
|
300 |
276 |
$0.75 |
| 1032F |
|
2,058 |
1,833 |
$0.73 |
| 1126F |
|
198 |
192 |
$0.71 |
| 3079F |
|
130 |
122 |
$0.38 |
| 3075F |
|
92 |
85 |
$0.30 |
| 1159F |
|
43 |
37 |
$0.01 |
| 1160F |
|
43 |
37 |
$0.01 |
| 1036F |
|
13 |
13 |
$0.00 |
| 3725F |
|
666 |
633 |
$0.00 |
| 90633 |
|
107 |
105 |
$0.00 |
| 90734 |
|
30 |
30 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |