| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
47,450 |
36,930 |
$5.34M |
| 90670 |
|
1,831 |
1,672 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,541 |
9,997 |
$13K |
| 59510 |
|
26 |
12 |
$13K |
| 90680 |
|
1,253 |
1,116 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,283 |
11,778 |
$10K |
| 90648 |
|
1,085 |
995 |
$8K |
| 90723 |
|
835 |
769 |
$6K |
| 90633 |
|
724 |
679 |
$5K |
| 90700 |
|
526 |
477 |
$4K |
| 90697 |
|
355 |
348 |
$3K |
| 54150 |
|
16 |
12 |
$2K |
| 90698 |
|
188 |
186 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,349 |
3,028 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,034 |
1,898 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,757 |
1,335 |
$1K |
| 90677 |
|
114 |
111 |
$1K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
200 |
188 |
$872.84 |
| 90707 |
|
80 |
73 |
$715.22 |
| 90716 |
|
77 |
75 |
$702.70 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,615 |
2,798 |
$701.76 |
| 90713 |
|
77 |
75 |
$568.00 |
| 90710 |
|
65 |
62 |
$480.00 |
| 90649 |
|
54 |
42 |
$456.17 |
| 99215 |
Prolong outpt/office vis |
1,944 |
1,595 |
$441.11 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
258 |
232 |
$257.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
73 |
$133.44 |
| 90651 |
|
15 |
13 |
$104.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,679 |
2,359 |
$98.76 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
803 |
540 |
$55.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
19 |
$34.61 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
30 |
13 |
$23.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
69 |
65 |
$17.57 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
685 |
555 |
$5.65 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
347 |
281 |
$3.03 |
| 81002 |
|
78 |
42 |
$3.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,299 |
1,078 |
$2.85 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
198 |
170 |
$2.48 |
| 3074F |
|
482 |
431 |
$0.00 |
| 99381 |
|
30 |
26 |
$0.00 |
| 92551 |
|
14 |
12 |
$0.00 |
| 99462 |
|
42 |
27 |
$0.00 |
| 3079F |
|
59 |
51 |
$0.00 |
| 99460 |
|
26 |
26 |
$0.00 |
| J0698 |
Injection, cefotaxime sodium, per gm |
41 |
28 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
279 |
239 |
$0.00 |
| 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 |
475 |
314 |
$0.00 |
| 99173 |
|
60 |
56 |
$0.00 |
| 3078F |
|
329 |
298 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 99490 |
Ccm add 20min |
44 |
41 |
$0.00 |