| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
39,342 |
29,007 |
$6.88M |
| H2020 |
Therapeutic behavioral services, per diem |
76 |
50 |
$19K |
| 99051 |
|
38 |
29 |
$198.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,136 |
14,489 |
$155.42 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,295 |
11,687 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,976 |
1,397 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
34 |
27 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
244 |
176 |
$0.00 |
| 94760 |
|
57 |
54 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
297 |
220 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
533 |
414 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
345 |
286 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
498 |
348 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
280 |
223 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
24 |
$0.00 |