| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,016 |
7,479 |
$405K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
894 |
776 |
$59K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
3,508 |
2,502 |
$45K |
| 2001F |
|
6,739 |
5,819 |
$15K |
| 2010F |
|
6,738 |
5,812 |
$15K |
| 3008F |
|
6,027 |
5,220 |
$13K |
| 2000F |
|
7,179 |
6,194 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
490 |
450 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
699 |
566 |
$9K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
141 |
126 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
86 |
76 |
$5K |
| 99000 |
|
1,668 |
1,492 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
143 |
$2K |
| 94760 |
|
4,734 |
4,163 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
684 |
542 |
$556.28 |
| 99442 |
|
16 |
16 |
$520.57 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
37 |
$457.38 |
| 0011A |
|
26 |
26 |
$391.94 |
| 0012A |
|
24 |
24 |
$360.00 |
| 90686 |
|
29 |
28 |
$258.16 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
79 |
72 |
$227.19 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
15 |
$220.92 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
30 |
$204.85 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
12 |
$168.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
69 |
$153.80 |
| 81003 |
|
66 |
62 |
$92.46 |
| 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 |
14 |
13 |
$67.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
202 |
161 |
$59.83 |
| 99173 |
|
13 |
13 |
$27.17 |
| 36416 |
|
69 |
62 |
$16.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
56 |
49 |
$11.79 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$11.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
136 |
125 |
$4.54 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
19 |
14 |
$4.34 |
| G0008 |
Administration of influenza virus vaccine |
19 |
14 |
$0.00 |