| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
22,103 |
16,063 |
$1.54M |
| H2020 |
Therapeutic behavioral services, per diem |
184 |
83 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,948 |
10,894 |
$676.49 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,053 |
1,588 |
$175.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
981 |
762 |
$119.70 |
| 11721 |
|
336 |
281 |
$0.00 |
| 1160F |
|
165 |
143 |
$0.00 |
| 3078F |
|
561 |
458 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
434 |
361 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,065 |
830 |
$0.00 |
| 3077F |
|
197 |
172 |
$0.00 |
| 99306 |
Prolong nursin fac eval 15m |
24 |
24 |
$0.00 |
| 81025 |
|
77 |
58 |
$0.00 |
| 90756 |
|
26 |
26 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
82 |
71 |
$0.00 |
| 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 |
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
35 |
30 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
59 |
53 |
$0.00 |
| 1159F |
|
164 |
143 |
$0.00 |
| 80305 |
|
17 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 3008F |
|
2,296 |
1,849 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
323 |
186 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
514 |
401 |
$0.00 |
| 1036F |
|
1,298 |
1,016 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
831 |
662 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
49 |
42 |
$0.00 |
| 3075F |
|
201 |
168 |
$0.00 |
| 3079F |
|
688 |
590 |
$0.00 |
| 3074F |
|
1,052 |
869 |
$0.00 |
| 1125F |
|
168 |
139 |
$0.00 |
| 00000 |
|
569 |
243 |
$0.00 |
| 3080F |
|
31 |
25 |
$0.00 |
| 1126F |
|
124 |
110 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
57 |
45 |
$0.00 |
| 97597 |
|
27 |
26 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
87 |
67 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
79 |
$0.00 |
| 90674 |
|
69 |
50 |
$0.00 |
| 99305 |
|
17 |
15 |
$0.00 |