| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,546 |
17,578 |
$744K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,976 |
2,581 |
$151K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,154 |
1,072 |
$76K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,801 |
1,633 |
$65K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,111 |
3,344 |
$58K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,075 |
983 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,178 |
2,966 |
$39K |
| 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 |
1,621 |
1,418 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,313 |
2,203 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
297 |
262 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
454 |
437 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
574 |
511 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,195 |
1,119 |
$2K |
| 99318 |
|
15 |
15 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$1K |
| 99307 |
|
40 |
40 |
$741.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
172 |
148 |
$580.49 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
22 |
$268.20 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
35 |
18 |
$119.27 |
| 81003 |
|
21 |
19 |
$5.85 |