| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,774 |
16,932 |
$2.09M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
242 |
189 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
249 |
198 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
250 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
177 |
155 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
231 |
215 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
302 |
268 |
$0.00 |
| 99173 |
|
355 |
280 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
63 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
96 |
$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 |
70 |
66 |
$0.00 |
| 90670 |
|
32 |
29 |
$0.00 |
| 3078F |
|
212 |
148 |
$0.00 |
| 87400 |
|
36 |
23 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
32 |
$0.00 |
| 3077F |
|
61 |
40 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
37 |
$0.00 |
| 81002 |
|
28 |
25 |
$0.00 |
| 99347 |
|
17 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| 81025 |
|
14 |
13 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
717 |
557 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,489 |
6,837 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,314 |
8,044 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,228 |
1,657 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
69 |
49 |
$0.00 |
| 87428 |
|
219 |
157 |
$0.00 |
| 92551 |
|
305 |
238 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
324 |
261 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
306 |
226 |
$0.00 |
| 87430 |
|
146 |
110 |
$0.00 |
| 3074F |
|
216 |
160 |
$0.00 |
| 3079F |
|
89 |
60 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 1036F |
|
86 |
75 |
$0.00 |
| 3080F |
|
31 |
25 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 3075F |
|
47 |
30 |
$0.00 |