| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,146 |
8,799 |
$943K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,713 |
5,170 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,788 |
2,243 |
$2K |
| 99215 |
Prolong outpt/office vis |
3,158 |
2,694 |
$983.90 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
12 |
$36.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
29 |
$33.36 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
32 |
$31.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
546 |
422 |
$0.16 |
| 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 |
538 |
531 |
$0.00 |
| 3077F |
|
23 |
19 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
37 |
$0.00 |
| 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 |
63 |
54 |
$0.00 |
| 99490 |
Ccm add 20min |
77 |
68 |
$0.00 |
| 3078F |
|
68 |
57 |
$0.00 |
| 87400 |
|
20 |
18 |
$0.00 |
| 81002 |
|
15 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
191 |
140 |
$0.00 |
| 3074F |
|
59 |
49 |
$0.00 |
| 3079F |
|
20 |
19 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
57 |
44 |
$0.00 |
| 3080F |
|
19 |
14 |
$0.00 |