| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,794 |
6,686 |
$232K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,870 |
4,207 |
$190K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,143 |
1,591 |
$27K |
| 99442 |
|
250 |
222 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
360 |
325 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
308 |
277 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
163 |
$2K |
| 90674 |
|
116 |
105 |
$2K |
| 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 |
86 |
61 |
$2K |
| 99441 |
|
58 |
52 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
42 |
37 |
$920.64 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
92 |
82 |
$802.77 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
66 |
53 |
$530.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
60 |
52 |
$381.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$352.18 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
93 |
87 |
$238.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
51 |
41 |
$174.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
12 |
$75.72 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$6.34 |
| 81003 |
|
13 |
12 |
$3.60 |
| 3079F |
|
1,635 |
1,448 |
$0.00 |
| 3080F |
|
183 |
166 |
$0.00 |
| 1125F |
|
1,926 |
1,689 |
$0.00 |
| 3075F |
|
993 |
888 |
$0.00 |
| 3008F |
|
2,573 |
2,212 |
$0.00 |
| 3074F |
|
2,825 |
2,408 |
$0.00 |
| 1170F |
|
972 |
845 |
$0.00 |
| 1036F |
|
3,107 |
2,596 |
$0.00 |
| 1101F |
|
823 |
722 |
$0.00 |
| 1035F |
|
13 |
12 |
$0.00 |
| 1159F |
|
3,053 |
2,572 |
$0.00 |
| 3288F |
|
901 |
785 |
$0.00 |
| 1160F |
|
3,249 |
2,737 |
$0.00 |
| 1090F |
|
2,552 |
2,189 |
$0.00 |
| 3078F |
|
2,826 |
2,372 |
$0.00 |
| 3725F |
|
936 |
808 |
$0.00 |
| 3077F |
|
839 |
732 |
$0.00 |