| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,496 |
12,137 |
$463K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
183 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
471 |
300 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
351 |
251 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
356 |
258 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
138 |
124 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
338 |
256 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
69 |
60 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
186 |
164 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
32 |
28 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
151 |
130 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
62 |
$1K |
| T1015 |
Clinic visit/encounter, all-inclusive |
297 |
195 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
78 |
70 |
$655.80 |
| 3077F |
|
230 |
174 |
$164.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
77 |
69 |
$139.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$70.26 |
| 81002 |
|
57 |
46 |
$64.67 |
| 3008F |
|
7,403 |
5,938 |
$2.47 |
| 3074F |
|
6,126 |
4,856 |
$1.57 |
| 3078F |
|
4,969 |
3,960 |
$1.11 |
| 3079F |
|
937 |
808 |
$0.22 |
| 1126F |
|
2,706 |
2,248 |
$0.07 |
| 1125F |
|
1,841 |
1,532 |
$0.05 |
| 1036F |
|
3,482 |
2,815 |
$0.00 |
| 1034F |
|
494 |
400 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
32 |
17 |
$0.00 |
| 3075F |
|
31 |
25 |
$0.00 |
| 1159F |
|
4,214 |
3,333 |
$0.00 |
| 1160F |
|
5,563 |
4,374 |
$0.00 |
| 3725F |
|
135 |
118 |
$0.00 |