| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
33,659 |
23,875 |
$2.82M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,259 |
20,647 |
$259.46 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
463 |
415 |
$104.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
733 |
586 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
772 |
596 |
$0.00 |
| 99188 |
|
533 |
460 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
787 |
647 |
$0.00 |
| 81002 |
|
1,094 |
887 |
$0.00 |
| 81025 |
|
42 |
38 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
200 |
142 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,156 |
1,008 |
$0.00 |
| 99173 |
|
833 |
644 |
$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 |
99 |
97 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
69 |
60 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
275 |
242 |
$0.00 |
| 80305 |
|
14 |
12 |
$0.00 |
| 96160 |
|
15 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,120 |
2,646 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
2,440 |
2,122 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,917 |
2,370 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
299 |
225 |
$0.00 |
| 92551 |
|
843 |
653 |
$0.00 |
| 86308 |
|
38 |
30 |
$0.00 |
| 85018 |
|
1,156 |
879 |
$0.00 |
| 00000 |
|
597 |
177 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
529 |
468 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
984 |
787 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
149 |
114 |
$0.00 |
| 99406 |
|
47 |
41 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
51 |
16 |
$0.00 |
| 90686 |
|
83 |
80 |
$0.00 |
| 96127 |
|
14 |
12 |
$0.00 |
| 87807 |
|
24 |
12 |
$0.00 |
| 99383 |
|
28 |
23 |
$0.00 |