| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,321 |
15,357 |
$1.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,926 |
15,317 |
$1.01M |
| 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 |
5,945 |
5,809 |
$100K |
| 99307 |
|
3,388 |
3,248 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
652 |
$28K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
397 |
268 |
$12K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,267 |
2,037 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
187 |
$6K |
| 99496 |
|
142 |
139 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,811 |
1,668 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
61 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
93 |
92 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,577 |
1,489 |
$1K |
| 90662 |
|
190 |
190 |
$469.07 |
| G0008 |
Administration of influenza virus vaccine |
364 |
361 |
$156.16 |
| 81003 |
|
131 |
119 |
$133.34 |
| 90674 |
|
135 |
131 |
$115.10 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
114 |
100 |
$76.08 |
| 92551 |
|
471 |
399 |
$21.07 |
| 81002 |
|
22 |
16 |
$3.13 |
| 96160 |
|
198 |
175 |
$2.88 |
| 99173 |
|
470 |
398 |
$0.00 |
| 90756 |
|
41 |
35 |
$0.00 |
| 99401 |
|
74 |
55 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
412 |
370 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
76 |
55 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
25 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
123 |
121 |
$0.00 |
| 85018 |
|
15 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
14 |
$0.00 |