| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
21,792 |
15,640 |
$2.30M |
| H2020 |
Therapeutic behavioral services, per diem |
3,786 |
2,478 |
$393K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,165 |
14,472 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,238 |
3,744 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
605 |
415 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,662 |
3,634 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
44 |
$598.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
149 |
132 |
$585.06 |
| 90658 |
|
63 |
57 |
$495.53 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
74 |
$127.36 |
| 81025 |
|
361 |
242 |
$25.25 |
| 81002 |
|
416 |
328 |
$12.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
559 |
465 |
$1.68 |
| 3079F |
|
1,235 |
880 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
284 |
250 |
$0.00 |
| 3008F |
|
3,095 |
2,035 |
$0.00 |
| 1126F |
|
1,959 |
1,258 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
10,036 |
9,029 |
$0.00 |
| 1034F |
|
915 |
639 |
$0.00 |
| 3075F |
|
730 |
554 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
517 |
373 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,607 |
1,187 |
$0.00 |
| 90686 |
|
199 |
153 |
$0.00 |
| 1036F |
|
1,887 |
1,291 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
191 |
166 |
$0.00 |
| 3074F |
|
2,228 |
1,549 |
$0.00 |
| 99305 |
|
501 |
440 |
$0.00 |
| 1125F |
|
624 |
440 |
$0.00 |
| 1035F |
|
287 |
196 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
86 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
19 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
67 |
56 |
$0.00 |
| 99304 |
|
165 |
145 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
23 |
19 |
$0.00 |
| 3080F |
|
100 |
76 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
40 |
12 |
$0.00 |
| 3078F |
|
2,191 |
1,608 |
$0.00 |
| 1160F |
|
546 |
357 |
$0.00 |
| 3077F |
|
559 |
423 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
102 |
59 |
$0.00 |
| 1159F |
|
555 |
357 |
$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 |
113 |
$0.00 |
| 3725F |
|
86 |
51 |
$0.00 |
| 80305 |
|
15 |
15 |
$0.00 |
| 11721 |
|
25 |
21 |
$0.00 |