| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
32,174 |
22,498 |
$4.19M |
| 99214 |
|
15,606 |
10,925 |
$4K |
| 99213 |
|
15,700 |
10,715 |
$777.16 |
| 96372 |
|
4,893 |
3,193 |
$39.76 |
| 36415 |
|
1,554 |
952 |
$29.58 |
| 92551 |
|
1,222 |
791 |
$14.86 |
| 83036 |
|
1,128 |
750 |
$10.13 |
| 85025 |
|
3,971 |
2,770 |
$7.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
767 |
601 |
$2.24 |
| 99173 |
|
1,214 |
792 |
$2.02 |
| 90461 |
|
1,221 |
858 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
372 |
263 |
$0.00 |
| 81025 |
|
110 |
80 |
$0.00 |
| 87502 |
|
1,213 |
872 |
$0.00 |
| 99307 |
|
210 |
184 |
$0.00 |
| 90460 |
|
1,953 |
1,372 |
$0.00 |
| 90671 |
|
190 |
169 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,044 |
726 |
$0.00 |
| 87634 |
|
151 |
116 |
$0.00 |
| 99393 |
|
316 |
195 |
$0.00 |
| 90648 |
|
16 |
12 |
$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 |
156 |
142 |
$0.00 |
| 81003 |
|
207 |
140 |
$0.00 |
| 99391 |
|
220 |
183 |
$0.00 |
| 99392 |
|
463 |
354 |
$0.00 |
| 90670 |
|
107 |
69 |
$0.00 |
| 99203 |
|
76 |
48 |
$0.00 |
| 99394 |
|
39 |
25 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 90686 |
|
181 |
141 |
$0.00 |
| 87651 |
|
2,879 |
2,152 |
$0.00 |
| 99309 |
|
240 |
202 |
$0.00 |
| 99308 |
|
136 |
125 |
$0.00 |
| 81001 |
|
209 |
133 |
$0.00 |
| 87635 |
|
1,126 |
799 |
$0.00 |
| 00000 |
|
262 |
190 |
$0.00 |
| 36416 |
|
396 |
226 |
$0.00 |
| 96110 |
|
66 |
42 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
37 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |