| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,878 |
5,884 |
$732K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,838 |
4,107 |
$312K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,054 |
978 |
$161K |
| 99307 |
|
1,427 |
1,383 |
$49K |
| 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 |
2,209 |
2,063 |
$34K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
388 |
293 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
47 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
510 |
425 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
127 |
91 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
781 |
730 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
103 |
82 |
$523.27 |
| 1159F |
|
1,136 |
1,009 |
$177.87 |
| 3008F |
|
528 |
460 |
$0.00 |
| 3079F |
|
31 |
30 |
$0.00 |
| 96127 |
|
32 |
31 |
$0.00 |
| 3074F |
|
308 |
278 |
$0.00 |
| 90686 |
|
64 |
62 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$0.00 |
| 92551 |
|
59 |
57 |
$0.00 |
| 1160F |
|
854 |
770 |
$0.00 |
| 3078F |
|
224 |
196 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
61 |
$0.00 |
| 99173 |
|
60 |
58 |
$0.00 |
| 96160 |
|
31 |
30 |
$0.00 |