| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,130 |
14,039 |
$1.83M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
586 |
492 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,588 |
15,006 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
154 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
241 |
218 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,762 |
1,285 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
102 |
$2K |
| 82947 |
|
454 |
358 |
$1K |
| 0011A |
|
40 |
39 |
$800.44 |
| 0012A |
|
29 |
29 |
$791.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
379 |
305 |
$659.04 |
| 90756 |
|
16 |
14 |
$159.96 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
20 |
19 |
$117.13 |
| 86580 |
|
14 |
13 |
$48.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$20.00 |
| 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 |
2,319 |
1,744 |
$15.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
14 |
$0.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
42 |
$0.00 |
| 99490 |
Ccm add 20min |
72 |
68 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
12 |
$0.00 |