| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
24,747 |
18,539 |
$8.20M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,657 |
14,424 |
$6.17 |
| 82962 |
|
1,656 |
1,161 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,176 |
11,631 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
711 |
510 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
237 |
177 |
$0.00 |
| 00000 |
|
500 |
249 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
85 |
55 |
$0.00 |
| 85018 |
|
79 |
71 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
52 |
36 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
609 |
461 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
444 |
323 |
$0.00 |
| 99307 |
|
1,203 |
1,047 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
860 |
747 |
$0.00 |
| 3077F |
|
15 |
14 |
$0.00 |
| 81002 |
|
29 |
29 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
16 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
105 |
74 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |