| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,119 |
23,534 |
$2.64M |
| 99051 |
|
135 |
84 |
$413.70 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,040 |
21,824 |
$0.28 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
2,057 |
1,546 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
406 |
327 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
7,050 |
5,241 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,706 |
3,715 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,148 |
1,609 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,374 |
9,922 |
$0.00 |
| 81000 |
|
864 |
563 |
$0.00 |
| 86308 |
|
51 |
43 |
$0.00 |
| 86403 |
|
1,044 |
878 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
293 |
228 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
412 |
306 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
132 |
102 |
$0.00 |
| 85018 |
|
38 |
26 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
98 |
60 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
16 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
140 |
43 |
$0.00 |
| 94760 |
|
75 |
55 |
$0.00 |
| 90686 |
|
18 |
12 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,245 |
1,770 |
$0.00 |
| J2010 |
Injection, lincomycin hcl, up to 300 mg |
1,171 |
935 |
$0.00 |
| 99442 |
|
703 |
243 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
753 |
626 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
352 |
276 |
$0.00 |
| 80305 |
|
328 |
247 |
$0.00 |
| 99173 |
|
16 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
54 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
31 |
15 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
16 |
$0.00 |