| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
12,666 |
8,193 |
$628K |
| 99199 |
Unlisted special service, procedure or report |
28,340 |
11,411 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,517 |
1,719 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,505 |
939 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
746 |
380 |
$5K |
| 72100 |
|
71 |
71 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
38 |
$444.12 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$249.40 |
| 93040 |
|
39 |
34 |
$243.97 |
| 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 |
29 |
14 |
$214.70 |
| 99401 |
|
26 |
12 |
$125.76 |
| 96127 |
|
20 |
16 |
$22.69 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
14 |
$9.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
14 |
$1.28 |
| 3078F |
|
1,351 |
1,036 |
$0.47 |
| 3074F |
|
1,477 |
1,117 |
$0.46 |
| 3077F |
|
694 |
527 |
$0.41 |
| 3079F |
|
775 |
607 |
$0.32 |
| 3080F |
|
186 |
137 |
$0.11 |
| 3075F |
|
269 |
219 |
$0.11 |