| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,815 |
15,591 |
$3.30M |
| 99051 |
|
212 |
191 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,910 |
9,334 |
$747.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,501 |
4,864 |
$444.58 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
162 |
$136.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,109 |
871 |
$39.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
560 |
458 |
$14.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
280 |
233 |
$9.13 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
852 |
619 |
$1.59 |
| 1036F |
|
1,196 |
902 |
$0.00 |
| 3008F |
|
2,778 |
2,169 |
$0.00 |
| 3074F |
|
2,418 |
1,851 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,749 |
1,751 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
661 |
459 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,033 |
845 |
$0.00 |
| 3075F |
|
127 |
104 |
$0.00 |
| 93000 |
|
159 |
136 |
$0.00 |
| 00000 |
|
136 |
56 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
346 |
228 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
26 |
$0.00 |
| 3079F |
|
505 |
423 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
246 |
61 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
190 |
146 |
$0.00 |
| 3080F |
|
88 |
70 |
$0.00 |
| 87807 |
|
138 |
121 |
$0.00 |
| 90686 |
|
44 |
40 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
35 |
30 |
$0.00 |
| 1034F |
|
55 |
41 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,436 |
1,169 |
$0.00 |
| 99307 |
|
253 |
241 |
$0.00 |
| 1159F |
|
642 |
528 |
$0.00 |
| 3078F |
|
2,079 |
1,597 |
$0.00 |
| 81003 |
|
204 |
153 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
384 |
328 |
$0.00 |
| 1160F |
|
644 |
529 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
19 |
18 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
58 |
53 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
566 |
419 |
$0.00 |
| 3077F |
|
141 |
118 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
457 |
376 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
71 |
63 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
171 |
93 |
$0.00 |
| 99442 |
|
23 |
12 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
46 |
41 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
21 |
15 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$0.00 |
| 90670 |
|
22 |
20 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
12 |
$0.00 |
| 81025 |
|
15 |
13 |
$0.00 |