| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
29,670 |
22,057 |
$1.88M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,120 |
17,587 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,556 |
2,222 |
$25K |
| 81003 |
|
1,519 |
1,309 |
$14K |
| 1036F |
|
2,508 |
2,110 |
$11K |
| 82948 |
|
376 |
326 |
$7K |
| 81025 |
|
57 |
39 |
$2K |
| 90658 |
|
99 |
98 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,190 |
2,698 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,544 |
1,344 |
$564.80 |
| 99173 |
|
169 |
154 |
$510.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,069 |
1,791 |
$276.82 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
27 |
$259.43 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
294 |
278 |
$255.18 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
66 |
$255.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
346 |
302 |
$179.85 |
| 92552 |
|
104 |
94 |
$170.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,234 |
2,774 |
$117.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
866 |
759 |
$94.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
164 |
$89.21 |
| 90633 |
|
14 |
12 |
$85.06 |
| 1034F |
|
285 |
253 |
$0.00 |
| 82962 |
|
71 |
54 |
$0.00 |
| 90688 |
|
29 |
26 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$0.00 |
| 0011A |
|
14 |
14 |
$0.00 |
| 93000 |
|
14 |
12 |
$0.00 |
| 90734 |
|
58 |
54 |
$0.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
261 |
230 |
$0.00 |
| 92550 |
|
52 |
46 |
$0.00 |
| 90715 |
|
31 |
30 |
$0.00 |