| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,070 |
15,893 |
$3.06M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
281 |
260 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,076 |
10,801 |
$50K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,877 |
1,706 |
$47K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,357 |
3,116 |
$44K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
261 |
211 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,892 |
1,452 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,976 |
1,563 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,038 |
5,050 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
207 |
$2K |
| 82962 |
|
566 |
528 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
827 |
766 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,278 |
1,180 |
$1K |
| 81002 |
|
389 |
367 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
387 |
378 |
$727.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
215 |
192 |
$352.26 |
| 86308 |
|
45 |
43 |
$262.56 |
| 90734 |
|
28 |
27 |
$216.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
30 |
$160.80 |
| 90686 |
|
14 |
14 |
$145.09 |
| 87807 |
|
13 |
12 |
$143.00 |
| 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 |
803 |
599 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
55 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
60 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |