| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,932 |
6,280 |
$508K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,738 |
2,831 |
$261K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
444 |
371 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,852 |
1,333 |
$19K |
| 99051 |
|
698 |
573 |
$10K |
| 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 |
361 |
351 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
54 |
48 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
37 |
$4K |
| 99382 |
|
39 |
28 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
573 |
448 |
$2K |
| A4208 |
Syringe with needle, sterile 3 cc, each |
2,056 |
1,423 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
607 |
481 |
$742.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,978 |
3,156 |
$581.75 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
36 |
14 |
$334.80 |
| 81003 |
|
388 |
312 |
$318.88 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
42 |
36 |
$211.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,302 |
1,316 |
$173.27 |
| 36415 |
Collection of venous blood by venipuncture |
583 |
462 |
$5.57 |
| 92551 |
|
136 |
101 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
737 |
580 |
$0.00 |
| 87428 |
|
344 |
288 |
$0.00 |
| 36416 |
|
64 |
45 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
84 |
74 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,043 |
796 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
59 |
43 |
$0.00 |
| 99173 |
|
136 |
101 |
$0.00 |
| 99401 |
|
38 |
26 |
$0.00 |