| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
15,705 |
11,707 |
$1.84M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
437 |
311 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
367 |
251 |
$0.00 |
| 99173 |
|
536 |
457 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,924 |
1,305 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
161 |
144 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
191 |
88 |
$0.00 |
| 99307 |
|
369 |
336 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
73 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
81 |
67 |
$0.00 |
| 90734 |
|
30 |
26 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
91 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
46 |
$0.00 |
| 99442 |
|
198 |
102 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,777 |
9,311 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,105 |
915 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,892 |
3,977 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,076 |
2,271 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
304 |
248 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
59 |
42 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
102 |
83 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
53 |
$0.00 |
| 92551 |
|
547 |
464 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
24 |
$0.00 |
| 90686 |
|
60 |
55 |
$0.00 |
| 90620 |
|
45 |
31 |
$0.00 |
| 90651 |
|
54 |
45 |
$0.00 |
| 99441 |
|
23 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
244 |
106 |
$0.00 |