| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
64,809 |
50,357 |
$11.60M |
| H2020 |
Therapeutic behavioral services, per diem |
864 |
549 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,292 |
38,500 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,338 |
1,891 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,609 |
8,246 |
$25.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,897 |
6,174 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
717 |
595 |
$0.00 |
| 93000 |
|
594 |
536 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,626 |
2,256 |
$0.00 |
| 92551 |
|
460 |
373 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
67 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
13 |
12 |
$0.00 |
| 00000 |
|
624 |
467 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
230 |
163 |
$0.00 |
| 90651 |
|
45 |
39 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
78 |
75 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
249 |
161 |
$0.00 |
| 87807 |
|
37 |
27 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
106 |
101 |
$0.00 |
| 90686 |
|
44 |
33 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
12 |
$0.00 |
| 86580 |
|
19 |
18 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,346 |
1,106 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,723 |
1,375 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
875 |
637 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,446 |
630 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
153 |
96 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
567 |
467 |
$0.00 |
| 99307 |
|
1,048 |
861 |
$0.00 |
| 81025 |
|
319 |
284 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
239 |
190 |
$0.00 |
| 81003 |
|
58 |
51 |
$0.00 |
| 90461 |
|
450 |
310 |
$0.00 |
| 90734 |
|
111 |
92 |
$0.00 |
| 99173 |
|
440 |
358 |
$0.00 |
| 90715 |
|
48 |
38 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
97 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
63 |
$0.00 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
84 |
38 |
$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 |
137 |
137 |
$0.00 |
| 90633 |
|
22 |
20 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
63 |
48 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
40 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
28 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
19 |
$0.00 |