| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,670 |
8,712 |
$605K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,207 |
2,740 |
$120K |
| 99307 |
|
3,071 |
2,712 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,489 |
1,111 |
$14K |
| 99442 |
|
227 |
185 |
$9K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
323 |
286 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
130 |
130 |
$3K |
| 99441 |
|
63 |
49 |
$1K |
| 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 |
104 |
58 |
$636.19 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
102 |
92 |
$438.03 |
| 0031A |
|
36 |
30 |
$203.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
425 |
346 |
$66.60 |
| 0011A |
|
58 |
50 |
$35.87 |
| 0002A |
|
51 |
43 |
$35.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
551 |
177 |
$29.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
77 |
63 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.00 |
| 0012A |
|
52 |
46 |
$0.00 |
| 0001A |
|
62 |
53 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 87400 |
|
223 |
194 |
$0.00 |