| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,896 |
6,924 |
$379K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,765 |
2,444 |
$163K |
| 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 |
5,959 |
5,783 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
538 |
510 |
$24K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
446 |
249 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$544.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
590 |
552 |
$364.39 |
| 90662 |
|
77 |
77 |
$177.20 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
158 |
135 |
$75.12 |
| 90674 |
|
78 |
75 |
$29.54 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
52 |
52 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
145 |
141 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
159 |
158 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
104 |
89 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
33 |
33 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
14 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
13 |
13 |
$0.00 |