| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
93,125 |
69,463 |
$7.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,236 |
47,086 |
$507K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,488 |
1,210 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31,526 |
24,877 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,839 |
1,609 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
179 |
171 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
4,012 |
3,756 |
$7K |
| 90756 |
|
147 |
144 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
476 |
398 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
385 |
351 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
427 |
410 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
313 |
303 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
129 |
$2K |
| 81002 |
|
30 |
25 |
$1K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
49 |
44 |
$632.52 |
| 87206 |
|
181 |
171 |
$377.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,609 |
1,503 |
$200.00 |
| 87807 |
|
120 |
111 |
$0.00 |
| 90674 |
|
179 |
172 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
17 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
962 |
912 |
$0.00 |
| 90734 |
|
43 |
40 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
24 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$0.00 |
| 81025 |
|
29 |
27 |
$0.00 |