| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,618 |
14,486 |
$3.34M |
| 3078F |
|
453 |
372 |
$45.00 |
| 3077F |
|
373 |
309 |
$25.00 |
| 3074F |
|
122 |
104 |
$20.00 |
| 3079F |
|
45 |
42 |
$5.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,867 |
11,542 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,416 |
2,867 |
$0.00 |
| 90686 |
|
187 |
156 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,298 |
921 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
614 |
522 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,261 |
2,436 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
135 |
109 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
16 |
$0.00 |
| 00000 |
|
141 |
124 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
246 |
201 |
$0.00 |
| 87430 |
|
23 |
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 |
113 |
105 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,675 |
2,149 |
$0.00 |
| 81002 |
|
1,076 |
913 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
179 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
64 |
17 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
43 |
$0.00 |